Payer: Page 224
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VA's chief medical inspector is out
Heads keep rolling at the VA, as another higher-up resigns after a scathing report that his office downplayed whistleblower complaints. What comes next?
By Judy Packer-Tursman • July 7, 2014 -
California's huge Medi-Cal backlog stalls expansion
Nearly 1 million Californians are waiting for the state to process Medi-Cal cards for them. Where are they heading for care in the meantime?
By Judy Packer-Tursman • July 3, 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 -
Deep Dive
How the ultra-narrow NH network impacted excluded hospitals
Twelve of New Hampshire's 26 acute-care hospitals aren't in the lone exchange carrier's network this year. Here's why this year's network exclusion riled them, and how 2015 is shaping up.
By Judy Packer-Tursman • July 3, 2014 -
Indiana hospitals urge swift CMS approval on coverage expansion
Indiana's hospitals are gung ho about getting the governor's Medicaid alternative plan up and running, but others have concerns about Healthy Indiana Plan 2.0.
By Judy Packer-Tursman • July 3, 2014 -
The BeneStream plan: New startup exploits ACA 'loophole'
The company enrolls eligible employees in Medicaid to help businesses comply with the employer mandate while keeping costs down.
By Katie Bo Williams • July 2, 2014 -
Why is healthcare spending going down?
The 1.4% drop in the first quarter was large enough to shrink the nation's overall GDP.
By Anne Zieger • July 2, 2014 -
NIH taps six clinical sites for 'undiagnosed diseases' network
The initiative is well-funded and expertly-staffed, but will make a difference to ailing patients?
By Judy Packer-Tursman • July 2, 2014 -
Medicare expands bundled payments
Does bundling payments for care episodes work better than traditional Medicare financing? CMS wants to know.
By Judy Packer-Tursman • July 1, 2014 -
Geisinger finds better way to manage diabetes care
Most of the risk reduction occurred in the first year of the new system, suggesting that this kind of effort to improve quality of care can work quickly.
By Judy Packer-Tursman • July 1, 2014 -
Supreme Court announces Hobby Lobby ruling
The court ruled in favor of the Oklahoma-based company, who claimed the contraception coverage requirement in the ACA violated their religious rights.
By Katie Bo Williams • June 30, 2014 -
Obama to nominate ex-P&G head for VA secretary
The administration believes it will take business savvy to address mismanagement in the Department of Veterans Affairs.
By Judy Packer-Tursman • June 30, 2014 -
What's in your wallet? A Carolinas health system wants to know
The system is examining patients' credit card purchases and store loyalty card transactions. If it's all in the name of predicting risks and trying to help patients stay healthy, is it OK?
By Judy Packer-Tursman • June 27, 2014 -
Tenet, TriWest partner on veterans' care
One VA doctor argues that while more private options represent a modest step forward, wholesale change to the VA healthcare system is still needed.
By Judy Packer-Tursman • June 27, 2014 -
HHS announces auto-enrollment
The change will bring the exchanges in line with standard practices in the current insurance marketplace.
By Katie Bo Williams • June 26, 2014 -
Deep Dive
By the numbers: 2015 exchange premium hikes aren't that bad
Early numbers are trickling in and so far, increases could be worse — but stay tuned through the summer as high-population states release rates.
By Katie Bo Williams • June 26, 2014 -
Survey finds newly insured are relatively sicker
A new Gallup poll says newly-insured Americans are sicker than anticipated. What does it mean for the healthcare delivery system?
By Judy Packer-Tursman • June 25, 2014 -
Report: Healthcare spending to rise in 2015
The uptick comes after a five-year deceleration. Research firm PwC offers a few specific reasons for the increase.
By Katie Bo Williams • June 24, 2014 -
PA 'private option' Medicaid expansion moves ahead
The governor is optimistic that the alternative to Medicaid expansion will get a waiver from CMS. The state's hospitals and health systems are banking on it.
By Judy Packer-Tursman • June 24, 2014 -
GA hospitals launch primary care residency programs
Like many states across the country, Georgia badly needs primary care doctors. Some hospitals are finding new ways to tackle the shortage head on.
By Judy Packer-Tursman • June 24, 2014 -
Teaching hospitals most likely to face new Medicare penalties
In October, the third pay-for-performance program will come on board, and various kinds of hospitals are likely to be impacted very differently.
By Katie Bo Williams • June 23, 2014 -
To make ACOs work: Act on data, shift fast to global payments
The recommendations from a former CMS administrator come amidst a flurry of ACO formation across the U.S.
By Judy Packer-Tursman • June 23, 2014 -
VA governor to expand Medicaid without General Assembly approval
At the climax of a carefully-watched state debate, Gov. Terry McAuliffe said Friday: "Let me be clear, I am moving forward to get healthcare for Virginian citizens."
By Katie Bo Williams • June 20, 2014 -
Survey: Many hospitals to begin ACOs, risk contracts in next year
The trend towards risk-based initiatives isn't slowing down any time soon. In fact, expect to see even more hospitals taking on this kind of arrangement next year.
By Judy Packer-Tursman • June 20, 2014 -
Health exchange subsidies cut premiums by 76%
...but premiums vary from state to state, as well as the size of the subsidies and proportion of beneficiaries who qualify for financial help.
By Anne Zieger • June 19, 2014 -
Former ONC chief launches well-funded ACO startup
Aledade will help independent physicians form and join accountable care organizations, but are they cutting themselves out of a large part of the market?
By Katie Bo Williams • June 18, 2014
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