Payer: Page 221


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    Changes to Medicare Advantage may ding expected record enrollment

    CMS has announced that enrollment in MA plans is expected to reach an all-time high next year, but some key changes may put pressure on the program.

    By Tammy Worth • Sept. 19, 2014
  • CMS announces 7.3M with ACA plans have paid premiums

    How significant is this new number? 

    By Sept. 18, 2014
  • Explore the Trendlineâž”
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    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
  • Fitbit hires Snapchat lobbyists to improve privacy image

    Legislators have voiced concern that device companies will sell information to groups like insurers, where the data could be used to discriminate against beneficiaries.

    By Tammy Worth • Sept. 18, 2014
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    Insurers file complaint against Partners HealthCare merger

    The Massachusetts Association of Health Plans is asking a Superior Court judge to impose tougher limits on Partners before allowing the mergers to go through.

    By Sept. 18, 2014
  • Report: Sovaldi dropout rate 4 times higher than in trials

    A CVS Health Corp analysis finds a "plateau and downward trend" in use of Gilead's $1,000-per-pill Hep C cure.

    By Sy Mukherjee • Sept. 17, 2014
  • Siemens, CarePayment create payment options for patients

    With out-of-pocket expenses on the rise, the alliance hopes to help reduce bad debt in hospitals. 

    By Tammy Worth • Sept. 17, 2014
  • Anthem Blue Cross forms groundbreaking HMO

    Can the new ACO/HMO hybrid—that involves seven rival hospitals including Cedars-Sinai—compete with giant Kaiser?

    By Sept. 17, 2014
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    CMS releases ACO performance report, results a mixed bag

    CMS says that providers in its Medicare accountable care organizations demonstrated higher quality than published benchmarks. But there's some warning signs. 

    By Sept. 17, 2014
  • Will increased competition actually lower premium costs?

    Now that more insurers are getting off the bench and into the exchange markets, will the administration's promise of reduced premiums come to bear?

    By Sept. 17, 2014
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    Blue Cross plans make big profit on sale of health IT firm

    Two Blue Cross companies, working with a private equity firm, have sold software service company TriZetto for $2.7 billion. 

    By Sept. 16, 2014
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    Dominant insurer to pull out of MN exchange

    PreferredOne says ongoing participation in the state exchange was "not administratively and financially sustainable."

    By Sept. 16, 2014
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    Hospital benefits not included in some ACA-approved employer plans

    2015 ACA standards allow businesses to offer bare-bones plans. Does that mean more out-of-pocket payments to hospitals?

    By Tammy Worth • Sept. 16, 2014
  • Are EMRs profitable or problematic?

    Nobody knows. Why can't research reach a consensus? 

    By Sept. 16, 2014
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    HHS announces $295M in health center funding

    The agency announced where it will be allotting the funds, which should allow for a national increase in patient volume of 1.5 million a year.

    By Tammy Worth • Sept. 16, 2014
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    4 countries where hospital administration costs are lower than the US

    U.S. hospitals rank highest in administrative costs, but dramatic reductions are possible.

    By Tammy Worth • Sept. 15, 2014
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    New Cigna branding focuses on collaboration

    Cigna's new branding campaign is designed to let consumers know the firm can be trusted with their health and financial security.

    By Sept. 15, 2014
  • Aetna strikes new ACO deal with Cornell University docs

    Cornell University's physician group has struck an ACO deal with Aetna under which it will care for about 9,000 of the payer's beneficiaries.

    By Sept. 15, 2014
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    Research suggests workplace wellness programs don't work

    ...at least not in the short term. But they may save costs in the long term through better chronic disease management.

    By Sept. 12, 2014
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    UnitedHealth's big data firm growing rapidly

    This is a massive database of de-identified patient data. Just how strict are the company's privacy protections?

    By Sept. 12, 2014
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    The Friday Dive: Utah on track to expand Medicaid (with a catch)

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

    By Sept. 12, 2014
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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 Sept. 11, 2014
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    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 Sept. 11, 2014
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    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
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    Is the Apple Watch a disappointment for healthcare?

    Some industry members expected more functionality from the highly-anticipated tracking device. 

    By , 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 Sept. 10, 2014