Payer: Page 219
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Blue Cross plans lead ACA exchanges
...for now. That dominance could be compromised by competition from giants like CIGNA and Aetna.
By Anne Zieger • Sept. 11, 2014 -
Deep Dive
5 numbers to know about employer health insurance
Here's what you need to know from Wednesday's Kaiser Family Foundation report. Spoiler alert: It's not just premiums providers need to worry about.
By Katie Bo Williams • Sept. 11, 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 -
Narrow networks don't mean worse care
A new report suggests that narrow networks don't just reduce costs—they also don't worsen care.
By Tammy Worth • Sept. 10, 2014 -
Retrieved from Apple on September 09, 2014
Is the Apple Watch a disappointment for healthcare?
Some industry members expected more functionality from the highly-anticipated tracking device.
By Katie Bo Williams , Tammy Worth • Sept. 10, 2014 -
Affordable Care Act cuts ED use by young adults
The change was driven by fewer visits among users, not a growth in people who visited the ED. Does this mean coverage has made young adults healthier?
By Anne Zieger • Sept. 10, 2014 -
The uncertain future of Medicaid waivers: GAO criticizes HHS for AR private option
A new report casts doubt on HHS, claiming that the agency did not adequately ensure Arkansas' private option would be budget neutral.
By Tammy Worth • Sept. 9, 2014 -
ICD-10 could worsen patient safety reporting
A new study found that the transition could create some serious inaccuracies.
By Anne Zieger • Sept. 9, 2014 -
Illinois hospitals fined $16.3M for excessive readmissions
...but not by CMS. Safety nets and academic medical centers fared the worst on readmission rates.
By Katie Bo Williams , Tammy Worth • Sept. 9, 2014 -
Feds requiring Medicaid programs to expand autism coverage
Some states are worried not only because they will be required to cover more services for autistic children, but also because there is a large increase in eligible children.
By Anne Zieger • Sept. 8, 2014 -
Nearly $25B paid to providers for Meaningful Use
Providers cashed out during Meaningful Use Stage 1. Stage 2, not so much.
By Tammy Worth • Sept. 5, 2014 -
Highmark sues UPMC for padding oncology bills
Pennsylvania's dominant insurer alleges that the provider has engaged in improper billing practices since 2010—to the tune of $300 million.
By Tammy Worth • Sept. 5, 2014 -
Deep Dive
The Friday Dive: Halbig case to go to en banc review
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Sept. 5, 2014 -
Philadelphia health systems and dominant area insurer form ACO
Are there lessons for other ACOs?
By Anne Zieger • Sept. 4, 2014 -
Legislation targets narrow networks in California
The bill follows lawsuits claiming Anthem Blue Cross and Blue Shield misguided consumers regarding provider network size.
By Tammy Worth • Sept. 4, 2014 -
Deep Dive
AMA recommends Medicare reimbursement for advanced care discussions
CMS will make a decision in the fall. How can providers prepare?
By Tammy Worth • Sept. 4, 2014 -
Report: Medicare spending slows for the first time in decades
...but will it last? That depends on who you ask.
By Katie Bo Williams , Tammy Worth • Sept. 4, 2014 -
Auto-enrollment rule finalized
Enrollees who don't return to Healthcare.gov to shop for a new plan will be auto-enrolled in the same plan next year.
By Katie Bo Williams • Sept. 3, 2014 -
Is the Pioneer ACO program on the skids?
Will those providers that stay involved find it easier to work with CMS than the pioneers of the Pioneer program? Or is the program too flawed to survive?
By Anne Zieger • Sept. 3, 2014 -
Medicaid expansion: Who's next?
Which other states have submitted expansion plans to CMS?
By Tammy Worth • Sept. 3, 2014 -
94K in Florida could lose coverage
Florida is a microcosm for a national problem.
By Anne Zieger , Katie Bo Williams • Sept. 2, 2014 -
Healthcare groups oppose new CMS rating system
Some providers hope to shoot down agency plans to rate them on a five-star scale.
By Anne Zieger • Sept. 2, 2014 -
Will Premier's decision to sell insurance pay off?
Over a quarter of hospitals expect to launch their own plans over the next five years. Is this a risk or a smart move?
By Katie Bo Williams , Tammy Worth • Aug. 29, 2014 -
Deep Dive
The Friday Dive: Pennsylvania becomes 27th state to expand Medicaid
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Aug. 29, 2014 -
Washington slashes exchange rates, doubles plans
The state insurance commissioner called the record-low rate changes a "clear sign that health reform is working."
By Katie Bo Williams • Aug. 29, 2014 -
Aetna, Banner Health ACO saves $5M
Was the ACO successful because of its regional model, and did it improve outcomes as well as curb costs?
By Katie Bo Williams • Aug. 28, 2014
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