Payer: Page 223
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Tenet broadens exchange coverage with Humana
Tenet has been busy lately. How does this new agreement play into Tenet's broader aims?
By Judy Packer-Tursman • July 17, 2014 -
CA plan, health system partner on senior products
Two healthcare giants in southern California are strengthening their effort to develop products for seniors. What are the lessons for senior services nationally?
By Judy Packer-Tursman • July 16, 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 -
Va. hospitals spent $400,000 lobbying to expand Medicaid
How effective are these big lobbying spends in pushing expansion through state legislatures?
By Judy Packer-Tursman • July 16, 2014 -
Deep Dive
Top 10 most expensive cities in America for primary care
What are the 150 million Americans who receive health insurance through their employer likely to pay for a preventative primary care visit in-network?
By Katie Bo Williams • July 16, 2014 -
2015 out-of-pocket cost changes inconsistent across exchange plans
Although deductibles went down overall, the variation between the metals was extreme.
By Katie Bo Williams • July 15, 2014 -
Most insurers met medical-loss ratio standards
GAO says excluding brokers' commissions from plans' administrative expenses would have slashed insurers' rebates to consumers. Brokers say they bring value.
By Judy Packer-Tursman • July 15, 2014 -
Possible $1M agreement reached in Halifax False Claims case
The first half of the Halifax suit was settled in March to the tune of $85 million. If accepted by the hospital board, this could be case-closed in the five-year saga.
By Katie Bo Williams • July 14, 2014 -
Critical access hospitals face tough EHR barriers
What options do rural hospitals have to meet federal standards?
By Judy Packer-Tursman • July 14, 2014 -
CMS demands fixes in state Medicaid backlogs
Six states must explain how they're going to correct problems to allow timely processing of applications. How are states responding?
By Judy Packer-Tursman • July 14, 2014 -
Obama's 'Between Two Ferns' healthcare video gets Emmy nom
The president's appearance to encourage Americans to sign up for healthcare.gov was viewed 22 million times.
By Katie Bo Williams • July 11, 2014 -
CMS hands out new round of innovation money
CMS wants to drive down costs and improve care for federal beneficiaries through innovation. What types of newly-funded projects are hospitals involved in?
By Judy Packer-Tursman • July 11, 2014 -
CareFirst saves big on medical homes
CareFirst's patient-centered medical homes are saving big bucks, improving outcomes and reducing admissions and lengths of stay. What are the implications for hospitals?
By Judy Packer-Tursman • July 11, 2014 -
Survey finds 17M Americans in HSAs
Insurers and bankers tout health savings accounts as an important coverage option. But do hospitals have reason to worry?
By Judy Packer-Tursman • July 10, 2014 -
Most ACA buyers were previously uninsured
A new study concludes that the biggest coverage gains were among young adults aged 19 to 34, Latinos and low-income adults.
By Anne Zieger • July 10, 2014 -
Hospitals using EHRs aren't found to overbill Medicare
But how conclusive is this latest study? Some critics say researchers were looking in the wrong place.
By Judy Packer-Tursman • July 10, 2014 -
Oscar: The new insurance model for Obamacare?
The startup sells itself as a friendlier, more accessible brand of health plan, but is it really that different from established insurers?
By Anne Zieger • July 10, 2014 -
Anthem Blue Cross of CA sued over narrow networks
The lawsuit—which claims "fraudulent" enrollment practices—has broad implications for narrow network plans.
By Judy Packer-Tursman • July 10, 2014 -
HHS pours $100M into expanding community clinics
What does more federal money mean for rural healthcare delivery and to outreach efforts to the uninsured?
By Judy Packer-Tursman • July 10, 2014 -
Blue Cross spends $65B on value-based claims
The march towards value-based care continues, but what does "value-based care" mean?
By Katie Bo Williams • July 9, 2014 -
Deep Dive
How Texas hospitals are handling flow of border kids
The border patrol won't return the Texas Hospital Association's calls and hospitals fear to speak to a media they see as being fed information to promote political messaging.
By Judy Packer-Tursman • July 9, 2014 -
Michigan merger forms HIE for 5 million people
Health insurance exchanges have long struggled for financial sustainability. Is bigger better?
By Judy Packer-Tursman • July 9, 2014 -
How is reform impacting hospital use?
The Robert Wood Johnson Foundation wants to figure out how coverage expansion is impacting hospitals financially. 2013 baseline data show some intriguing results.
By Judy Packer-Tursman • July 9, 2014 -
Paying it forward with kidney transplants
Can others learn from a transplant program in Alabama about how to make inroads in a system where thousands of Americans are waiting for help?
By Judy Packer-Tursman • July 8, 2014 -
Florida hospitals must repay millions in Medicaid
Should hospitals in other anti-expansion states take heed?
By Judy Packer-Tursman • July 8, 2014 -
Possible 2.1% boost for hospital outpatient pay on the horizon
CMS wants to boost Medicare payment rates for outpatient services in 2015. But the agency released its massive proposal right before the July 4th weekend, slowing provider reactions.
By Judy Packer-Tursman • July 7, 2014
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