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
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    Are ACOs really good for healthcare providers?

    Some of the flurry of deals seem suspiciously slapped together.

    By July 25, 2014
  • Explore the Trendline
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    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
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    ACO enrollment expected to top 130M by 2017

    But how is "accountable care organization" being defined? 

    By Judy Packer-Tursman • July 25, 2014
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    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 July 25, 2014
  • 10.3M acquired coverage under ACA

    A recent study also included revealing data about Medicaid expansion.

    By 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
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    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 July 23, 2014
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    Blue Cross ACO gets results in first year

    Almost 90% of hospitals participating in Independence Blue Cross' ACO contracts cut readmission rates.

    By 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 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 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
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    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 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
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    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
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    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
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    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 July 18, 2014
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    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 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 July 17, 2014