Payer: Page
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Deep Dive
Two charts that explain the Medicare data release of hospital charges
CMS dropped three more huge data sets Monday that could increase scrutiny of hospital sticker prices.
By Katie Bo Williams • June 2, 2015 -
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 -
Deep Dive
Mixed reactions to new managed care 'uber rule': What changes are needed?
At least one provider group says the controversial MLR requirement may be too limiting for patients that require auxiliary services like transportation.
By Nina Flanagan • June 1, 2015 -
Single payer in New York? Not likely
The state Assembly overwhelmingly passed a bill that would eliminate insurance companies in the state of New York.
By Heather Caspi • May 29, 2015 -
Study: Overhead costs skyrocket under the ACA
Nearly one out of every four dollars goes straight to administrative costs for health plans.
By Heather Caspi • May 29, 2015 -
Aetna's $4.5M fine included penalty for covering abortions
It's unusual to see an insurer penalized for providing payment.
By Heather Caspi • May 29, 2015 -
BCBS accused of acting as illegal cartel in two consolidated antitrust lawsuits
The suits have weathered their first major legal challenge and the plaintiffs are requesting class-action status.
By Heather Caspi • May 29, 2015 -
Why one hospital may lose its Medicare funding
CMS could terminate the hospital from the program as soon as June 5.
By Nina Flanagan • May 28, 2015 -
Do rising CEO salaries really impact healthcare costs?
The median healthcare CEO salary in 2014 was $13.6 million, higher than any other industry, and some analysts are up in arms.
By Nina Flanagan • May 28, 2015 -
IronHealth announces bundled payment protection
The healthcare unit of Ironshore Inc. is offered a two-tiered product that it promises offers "unparalleled financial risk protection for providers."
By Heather Caspi • May 27, 2015 -
Spousal coverage taking a hit, survey shows
As costs continue to rise, spousal coverage has become a target for cutbacks.
By Heather Caspi • May 27, 2015 -
Challenged ACA language was inadvertent, authors say
Four inadvertent words could still doom the ACA.
By Heather Caspi • May 27, 2015 -
Deep Dive
Will scrutiny press insurers into covering high-cost drugs?
Are more expensive lawsuits like the one settled recently by Anthem on the horizon for payers?
By Heather Caspi • May 27, 2015 -
Covered California adopts specialty drug cap
While insurers supported the caps, they note that the core expense of the drugs still remains.
By Heather Caspi • May 27, 2015 -
Sweeping Medicaid managed care rule sets MLR at 85%
The long-awaited "uber rule" has already drawn criticism from health plans.
By Katie Bo Williams • May 27, 2015 -
Feds suggest compromise for Florida LIP funding
The administration is willing to partially fund Florida's expiring hospital reimbursement program.
By Heather Caspi • May 26, 2015 -
UPDATED: CEO Karen Ignagni to leave AHIP
"The AHIP job is one of the sexier jobs in Washington," said one headhunter. "High profile with lots of internal and external resources and the comp doesn't hurt either."
By Katie Bo Williams • May 21, 2015 -
CMS soon to release new Medicaid managed care regulations
What should the industry expect to see in the proposal?
By Nina Flanagan • May 21, 2015 -
CareFirst BlueCross BlueShield breach impacts 1.1M
"We have constant monitoring going on, every second of every day, but the nature of this attack was sophisticated enough that we couldn't detect it," CEO Chet Burrell said.
By Katie Bo Williams • May 20, 2015 -
Study: 1 in 4 with insurance can't afford care because of high deductibles
One report author suggested insurers be required to offer at least one silver plan that covers basic outpatient services and drugs before the deductible.
By Heather Caspi • May 20, 2015 -
Deep Dive
How will the Cadillac tax change health plans?
"Creating plans with prices below the surtax threshold is likely to become harder for payers over time," says one healthcare economist.
By Heather Caspi • May 20, 2015 -
Aetna fined $4.5M in Missouri over lack of autism benefits
Déjà vu: The insurer also agreed to pay a similar fine in 2012.
By Heather Caspi • May 20, 2015 -
Anthem sued for denying Hep C drug coverage
Will legal action force payers to cover high-cost drug treatments?
By Heather Caspi • May 20, 2015 -
Steep premium hikes expected on 2016 exchange
BlueCross BlueShield of Tennessee is seeking a 36.3% hike.
By Heather Caspi • May 19, 2015 -
Molina to purchase troubled Medicaid business from HealthPlus
The sale is part of an attempt to save the rest of HealthPlus.
By Heather Caspi • May 19, 2015
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