Payer: Page 222
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Oregon's big Medicaid expansion strains system
Oregon was touted as a potential national model for Medicaid expansion, but is instead highlighting the national physician shortage.
By Judy Packer-Tursman • July 25, 2014 -
Are ACOs really good for healthcare providers?
Some of the flurry of deals seem suspiciously slapped together.
By Anne Zieger • July 25, 2014 -
Explore the Trendline➔
Yujin Kim/Healthcare DiveTrendlinePayer/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 -
ACO enrollment expected to top 130M by 2017
But how is "accountable care organization" being defined?
By Judy Packer-Tursman • July 25, 2014 -
Deep Dive
The Friday Dive: More threats to Obamacare, big settlements and major mergers
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • July 25, 2014 -
10.3M acquired coverage under ACA
A recent study also included revealing data about Medicaid expansion.
By Katie Bo Williams • July 24, 2014 -
Deep Dive
Worth the wait: Medicaid expansion lowers uncompensated care in MI
Enrollment surpassed the Healthy Michigan Plan's first-year target of 322,000 in only a few months.
By Judy Packer-Tursman • July 24, 2014 -
CMS may waive three-day requirement for nursing home coverage
Medicare is allowing dozens of hospitals to test payment options that could end observation care penalties.
By Judy Packer-Tursman • July 24, 2014 -
Typical Medicare enrollees spent $4,700 out-of-pocket in 2010
Our handy infographic shows which Medicare beneficiaries pay relatively more out-of-pocket.
By Judy Packer-Tursman • July 23, 2014 -
Fake applicants obtain ACA coverage in undercover investigation
GAO investigators used missing or inaccurate Social Security numbers and invalid citizenship information—and still were able to acquire and keep coverage.
By Katie Bo Williams • July 23, 2014 -
Blue Cross ACO gets results in first year
Almost 90% of hospitals participating in Independence Blue Cross' ACO contracts cut readmission rates.
By Anne Zieger • July 23, 2014 -
Dallas urgent care centers sell primary care directly to small employers
Employers can buy primary care directly from PrimaCare Medical Centers, then add coverage for specialists and hospitalization.
By Judy Packer-Tursman • July 23, 2014 -
Appeals court rules against IRS in Halbig v. Burwell
The 4th Circuit Court of Appeals also handed down a ruling on an almost identical case, King v. Burwell, ruling in favor of the federal government.
By Katie Bo Williams • July 22, 2014 -
Deep Dive
The 'Save Our Hospital' saga: Part II
The adventure continues for Mayor Adam O'Neal. We look into the town-sponsored plan for the hospital to become profitable, and why Vidant chose to close a CAH that wasn't their worst-performing hospital.
By Judy Packer-Tursman • July 22, 2014 -
Catholic Health Initiatives expands into insurance market
By offering both the health plan and the care element, will CHI be better positioned than some of its competitors to snag employer contracts?
By Anne Zieger • July 22, 2014 -
Doctors protest grueling certification standards
Will rigorous new board-certification standards keep physicians up-to-date or force them out of practice?
By Judy Packer-Tursman • July 22, 2014 -
CMS may mandate wider exchange networks
Regulators are stepping into the fray as consumers continue to rail against increasing use of narrow provider networks. What happens next?
By Judy Packer-Tursman • July 22, 2014 -
La. Medicaid plans save $30 per member per month
Louisiana thinks it's found the best way to save money on Medicaid, and it isn't a shared-savings model or fee-for-service.
By Judy Packer-Tursman • July 21, 2014 -
Medical marijuana: The risk/reward debate for hospitals
One hospital in Chicago is aggressively petitioning the federal government to catch up with Illinois' choice to legalize the drug.
By Katie Bo Williams • July 21, 2014 -
Deep Dive
The 'Save Our Hospital' saga: Why one mayor is walking 300 miles to save his town CAH
Part I of II. The story illustrates the struggles of rural healthcare delivery across the U.S. and the real-life impact of M&A.
By Judy Packer-Tursman • July 21, 2014 -
UnitedHealth launches massive exchange expansion
Despite sounding a cautionary note, all indications are that the nation's largest health insurer will expand into a lot of exchanges in 2015.
By Judy Packer-Tursman • July 18, 2014 -
1,000 deaths a day: Senate hearing blasts hospitals for unsafe care
The panel's chairman said only heart disease and cancer kill more Americans than preventable medical errors.
By Judy Packer-Tursman • July 18, 2014 -
Want to lower healthcare costs? Make comparison shopping easier
Costs vary widely for the same services, even in the same cities—but consumers often don't know that.
By Anne Zieger • July 18, 2014 -
Deep Dive
The Friday Dive: Halifax, ICD-10 and the rural health crisis
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • July 18, 2014 -
Loma Linda unveils $1.2B expansion plan
The huge California health system expects to complete four major projects by 2020.
By Judy Packer-Tursman • July 17, 2014 -
Deep Dive
Top 10 highest grossing for-profit hospitals
Who topped the list in 2014?
By Katie Bo Williams • July 17, 2014