Payer: Page 215
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Deep Dive
The bottom line: What has the ACA done for hospitals?
26 million citizens are newly insured under the ACA, but what has the overall impact been on the industry?
By Tammy Worth • Oct. 30, 2014 -
Study: Premiums rose dramatically after ACA implementation
But is comparing premiums before and after like comparing applies and oranges?
By Tammy Worth • Oct. 30, 2014 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
Montgomery County Planning Commission
Aetna Q3 profits rise despite increased medical costs
Do those increased costs speak to a trend?
By Tammy Worth • Oct. 29, 2014 -
Optum picks up Alere Health for $600M
The deal offers at least two obvious advantages to UnitedHealth Group subsidiary Optum.
By Anne Zieger • Oct. 29, 2014 -
Medicaid directors ask Congress to address specialty drug prices
But will they be successful? Pharma has a strong track record at beating back initiatives designed to control costs.
By Anne Zieger • Oct. 29, 2014 -
UHS shows increased volumes, lowered revenue
The hospital's increase in patient volumes was not enough to buffer it from higher costs and other fees in Q3.
By Tammy Worth • Oct. 29, 2014 -
Do the feds expect to lose the subsidy battle?
...and will insurers pull their products from the exchange if they do?
By Katie Bo Williams • Oct. 28, 2014 -
Are backers of high-deductible plans ignoring the facts?
Several studies suggest that high-deductible plans aren't as efficient at reducing healthcare spending as supporters may think.
By Anne Zieger • Oct. 28, 2014 -
Sam's Club, Aetna to launch private insurance exchange
The retailer is banking on the fact that customers will turn to them, rather than SHOP exchanges, to satisfy the employer mandate.
By Tammy Worth • Oct. 27, 2014 -
New York hospitals launching health insurance plans
These providers are relying on their sophisticated infrastructure and substantial market share. But are most providers ready to take on that level of risk?
By Anne Zieger • Oct. 27, 2014 -
Humana may sell urgent care subsidiary Concentra
The move could be a sign that the merger of insurers and providers to cut costs might not be smooth sailing.
By Tammy Worth • Oct. 24, 2014 -
Highmark request to block hearing denied
The saga continues, and the case will move forward after a federal judge refused Highmark's motion for a restraining order.
By Tammy Worth • Oct. 23, 2014 -
89% of uninsured don't know open enrollment begins next month
A new Kaiser Family Foundation poll revealed some concerning results.
By Tammy Worth • Oct. 22, 2014 -
PhRMA blames insurance companies for drug access woes
AccessBetterCoverage.org is chock-full of insurance facts. But its real message is that health insurers, and not pharma, are guilty of shifting drug costs onto consumers.
By Nicole Gray • Oct. 21, 2014 -
MedPAC pushes for better physician payment rates
In its October meeting, the commission expressed concern that primary care continues to be undervalued in Medicare's fee schedule.
By Tammy Worth • Oct. 21, 2014 -
Is CVS Caremark using cigarette co-pay to muscle out competitors?
...and is the new practice by Caremark-managed plans anti-competitive?
By Katie Bo Williams • Oct. 20, 2014 -
Aetna loses Delaware Medicaid contract
Meanwhile, Highmark and UnitedHealthcare have signed three-year contracts with the state.
By Tammy Worth • Oct. 20, 2014 -
Hospitals can now get insurance for Ebola revenue losses
The care of Thomas Eric Duncan was estimated to cost the hospital that treated him $1,000 an hour.
By Tammy Worth • Oct. 20, 2014 -
Pay up: Oregon insurance exchange clients face tax bill
More than 12,000 could owe a total of more than $1.12 million in taxes.
By Randy Lilleston • Oct. 20, 2014 -
Deep Dive
How will MA's new price transparency mandate affect its healthcare market?
Legislation in numerous states requires some kind of public pricing. But how will this trend impact markets?
By Tammy Worth • Oct. 17, 2014 -
Is the Obama admin about to nix large employer plans that lack hospital benefits?
The Treasury Department is reconsidering allowing these plans after extensive backlash. But the administration has a small window to make its decision.
By Tammy Worth • Oct. 17, 2014 -
Why UnitedHealth's Q3 profits beat expectations
The insurer's strong quarterly profits stem from Medicaid growth, Optum revenue—and low medical spending.
By Tammy Worth • Oct. 17, 2014 -
Health insurance payments going digital
Providers have several choices in how they accept payments from health insurers, each with its own problems. Eventually, it will all go digital, speeding up the process significantly, one expert says.
By Anne Zieger • Oct. 17, 2014 -
Private Kansas Medicaid insurers lose $73M in six months
Three health plans administering the Kansas Medicaid plan are on pace for an annual shortfall which could exceed the $110 million lost on the program in 2013.
By Anne Zieger • Oct. 14, 2014 -
Pharma sues feds, again, over 340B hospital orphan drug discount rule
The battle between pharma and the federal government over a controversial 340B drug discount program rule rages on.
By Sy Mukherjee • Oct. 13, 2014
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