How some NJ hospitals are making insurers pay through the nose

A drafting loophole in a state insurance regulation has given some hospitals the chance to turn providing out-of-network care into a money-making enterprise.

By Katie Bo Williams • Aug. 28, 2014

CVS announces affiliation with MedStar Health

What are the benefits to MedStar? And just how big is the CVS affiliate footprint? 

By Katie Bo Williams • Aug. 27, 2014

Explore the Trendline➔

Payer/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

Marketing expert named new Healthcare.gov CEO

Kevin Counihan has some serious marketing chops, but can he translate a track record of state-level success to the federal level?

By Tammy Worth • Aug. 27, 2014

Another Pioneer ACO bites the dust

Is the program's "one-size-fits-all" approach to payment to blame?

By Katie Bo Williams • Aug. 26, 2014

What consumers do and don't know about the ACA, in charts

...and how does that impact support for the law?

By Katie Bo Williams • Aug. 26, 2014

Providers have serious concerns about CMS renal ACO program

Is the agency providing sufficient guidance to providers—and are providers applying for the program?

By Katie Bo Williams • Aug. 26, 2014

CHS breach could cost up to $100 million

But the greatest cost of the hack is likely to be to the healthcare system at large. 

By Katie Bo Williams • Aug. 25, 2014

Anthem Blue Cross faces another lawsuit

The pushback against narrow networks continues, and may result in legislative changes. 

By Katie Bo Williams , Judy Packer-Tursman • Aug. 21, 2014

How Google searches can help determine population health

The quality of life where people live is closely correlated to healthcare-related Google searches. What can providers learn?

By Anne Zieger , Katie Bo Williams • Aug. 21, 2014

Carondelet to pay $35M fraud settlement

The Arizona-based provider has admitted to no wrongdoing. 

By Katie Bo Williams • Aug. 19, 2014

MO insurers do not have to disclose exchange prices

Transparency may be slow to come in a state where there are no campaign finance limits and insurers are high campaign contributors.

By Tammy Worth • Aug. 19, 2014

Large employers shifting health costs to workforce

Are employers leaving the insurance business, and how should providers prepare?

By Tammy Worth • Aug. 18, 2014

CMS creates payment for chronic care management

Care must be available 24/7 in order to be eligible for reimbursement.

By Tammy Worth • Aug. 18, 2014

Community Health Systems announces massive data hack

The theft included the personal data of 4.5 million patients. 

By Katie Bo Williams • Aug. 18, 2014

How hospitals can benefit from value-based insurance

"We need to make sure health plans make it easy for patients to do the exact same things we want them to do," said Mark Fendrick, M.D., director of the University of Michigan Center for Value-Based Insurance Design.

By Tammy Worth • Aug. 18, 2014

Hospitals, insurers lock horns over paying premiums for low-income consumers

Will third-party payment of premiums attract an excessive number of sicker patients? 

By Anne Zieger • Aug. 15, 2014

The Friday Dive: Wal-Mart, VA referrals and False Claims lawsuits

Healthcare Dive's editor looks back on the biggest news from the last week. 

By Katie Bo Williams • Aug. 15, 2014

'Skinny' plans maintain foothold despite ACA

Are minimum-coverage plans a sign that employers are moving away from the insurance game? And what does this mean for providers?

By Tammy Worth • Aug. 14, 2014

The slow, painful death of fee-for-service primary care

As payers move toward an accountable care model, more traditional practices are feeling the squeeze.

By Anne Zieger • Aug. 14, 2014

What's in a name: WellPoint changes name to Anthem

The change represents a "major pivot" to a more consumer-oriented approach, according to CEO Joe Swedish. 

By Katie Bo Williams • Aug. 13, 2014

Medicaid numbers jump even in states that didn't expand

Does the ACA have a "trickle down" effect? 

By Tammy Worth • Aug. 12, 2014

Florida premiums skyrocket as elections loom

Politicians across the country have been accused of using premium numbers to their advantage. How dramatic will the impact on voters be?

By Tammy Worth • Aug. 11, 2014

Concern grows over Medi-Cal providers

Enrollment in California's Medicaid program increases, but will patients find care?

By Tammy Worth • Aug. 11, 2014

HHS reports new Medicaid enrollment tops 7M

Total Medicaid enrollment is now 66 million, although some states are still resisting expanding the program under the ACA. 

By Katie Bo Williams • Aug. 8, 2014

How many people will actually pay the ACA individual mandate penalty?

Far fewer than originally expected, according to the Congressional Budget Office.

By Sy Mukherjee • Aug. 8, 2014