Payer: Page 221
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Partners HealthCare posts $34M operating loss
Sapped by a sicker-than-expected population and Sovaldi payouts, Partners has posted its largest quarterly operating deficit in years.
By Anne Zieger • Aug. 8, 2014 -
Facility fees fluctuate, physician fees flat
Facility fees for performing procedures can vary between institutions in some cases by as much as 1,680%.
By Sy Mukherjee • Aug. 7, 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 -
What major health plans offer medical tourism options?
Some large insurers have begun encouraging their members to get procedures outside the U.S. through cross-border plans.
By Anne Zieger • Aug. 7, 2014 -
Deep Dive
Admitting a patient: What does it cost hospitals?
Price variation across the country has come under increased scrutiny. But how does the expense to hospitals of admitting a patient vary from state to state?
By Katie Bo Williams • Aug. 6, 2014 -
Health plan giants partner on groundbreaking HIE
Not only will this likely be the largest health information exchange in the country, but the deal is so unusual that it may be unparalleled in the history of HIEs.
By Anne Zieger • Aug. 6, 2014 -
Give the consumer some credit: Study shows patients price shop
Increased cost transparency for MRIs pushed 15% of patients to choose the cheaper alternative, prompting competitive pricing amongst providers and lowering costs overall.
By Katie Bo Williams • Aug. 5, 2014 -
Medicare sets final rule on 2015 payments, penalties
Changes include an increase in maximum readmission penalties, as well as payment hikes for acute and long-term care hospitals.
By Sy Mukherjee • Aug. 5, 2014 -
CHS settles whistleblower suit for $97M
The suit alleged that Community Health Systems habitually admitted patients who should have been treated on an outpatient basis in order to bill Medicare at the higher inpatient rates.
By Katie Bo Williams • Aug. 5, 2014 -
Is healthcare spending going up, down or both?
Depends on who you ask.
By Sy Mukherjee • Aug. 5, 2014 -
Deep Dive
The Monday Primer: Premium hikes, house calls and hospital violence
Healthcare Dive's editor gives you a head start on the news. What's coming up in the week ahead?
By Katie Bo Williams • Aug. 4, 2014 -
HHS pours $54M into mental health services
This influx of federal money will help 221 community health centers in 47 states support mental-health services.
By Judy Packer-Tursman • Aug. 1, 2014 -
CA premiums to rise 4.2% for 2015
California's insurance commissioner described it as "merely a pause in the double-digit rate increases we've seen historically."
By Judy Packer-Tursman • Aug. 1, 2014 -
Deep Dive
The Friday Dive: Firm ICD-10 transition date set
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Aug. 1, 2014 -
Only 6 states are extending the Medicaid pay hike to primary care docs
Does raising the pay rate increase the number of primary care physicians treating Medicaid patients and improve access to care? No one knows yet.
By Katie Bo Williams • July 31, 2014 -
Kaiser Permanente, Johns Hopkins begin quality collaboration
Because of who is involved, this strategic partnership could potentially have a huge impact on shifting healthcare delivery from volume to value.
By Judy Packer-Tursman • July 31, 2014 -
Medicare triples bundled payments initiative
Does the program reduce systemic waste or does it create incentives for physicians to cut down on necessary care?
By Katie Bo Williams • July 31, 2014 -
Deep Dive
Tougher to get in than Harvard: The $100M Texas hospital where everyone wants to work
The new 100-bed hospital isn't affiliated with a health system in any way—and its entrepreneurial, specialist-driven model is setting it apart in an incredibly competitive market.
By Judy Packer-Tursman • July 31, 2014 -
Deep Dive
6 things you need to know about Sovaldi
The new Hep C drug, infamously priced at $1,000 a pill, is changing the Medicare Part D landscape.
By Katie Bo Williams • July 30, 2014 -
NCQA plan accreditation targets 'narrow networks'
The network transparency requirements will give narrow-network plans a way to stand out by demonstrating quality over cost containment.
By Judy Packer-Tursman • July 30, 2014 -
Deep Dive
One network to rule them all: The future of Mayo, Cleveland Clinic hospital affiliates
Both institutions are expanding their networks. Affiliated hospitals enjoy national branding and other benefits, but will they remain independent?
By Judy Packer-Tursman • July 30, 2014 -
New VA secretary faces big challenges
The appointment of the president's choice comes on the heels of a $17M-agency-overhaul bill expected to hit Obama's desk this week.
By Katie Bo Williams • July 30, 2014 -
Universal American backs off ACO model
The largest operator of Medicare accountable care organizations has exited three ACOs to date—with possibly more to come.
By Katie Bo Williams • July 29, 2014 -
New enrollment approaches 7 million in Medicaid/CHIP
RWJF cites the latest enrollment numbers as a sign of continuing progress, but significant challenges remain.
By Judy Packer-Tursman • July 29, 2014 -
Medicare trustees: Hospital insurance fund solvent through 2030
Medicare's trustees have revised their projections for the Part A hospital insurance trust fund, now saying it will remain solvent for four years longer than previously expected.
By Sy Mukherjee • July 28, 2014 -
Michigan Blues medical homes create dramatic savings
Adult patients in Blues-designated PCMHs had a 27.5% lower rate of hospital stays for certain conditions over the last year—and that's not all.
By Judy Packer-Tursman • July 28, 2014
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