CMS to implement new payment model for oncology care

Interested payers are encouraged to apply to participate.

By Heather Caspi • Feb. 18, 2015

3 off-the-wall things insurers are doing to increase engagement

Innovative companies are upping the ante well beyond the average wellness program.

By Heather Caspi • Feb. 18, 2015

Explore the 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

Should uninsured get a second shot at enrollment after seeing penalties?

The uninsured are now set to get penalized twice—for 2014 and 2015—before they can do anything about it.

By Heather Caspi • Feb. 18, 2015

Priority Health 'the first' to cover comprehensive genetic testing

The decision may be groundbreaking, but is it the most informed?

By Heather Caspi • Feb. 18, 2015

IL academic hospitals face tough cuts with Humana, Blues

"This is really a cost play," said one health benefits consultant. 

Feb. 18, 2015

Assurant Health raises premiums after losing big in 2014

The insurer blames a policy change for leaving them with sicker-than-expected planholders. Will risk adjustment and reinsurance provisions keep them afloat?

By Heather Caspi • Feb. 17, 2015

Anthem provides identity theft protection after hack

The offering appears to be prompted, as opposed to proactive.

By Heather Caspi • Feb. 17, 2015

Glitches snag Obamacare sign-ups, prompt extensions

Enrollment is still being offered to some of those who were unable to finish on time.

By Heather Caspi • Feb. 17, 2015

CMS raises bar for nursing home performance

Have high ratings been too easy to achieve?

By Heather Caspi • Feb. 17, 2015

Report: Cost of Anthem breach could cross $100M

If the costs of a hack like this can't be covered by a $100-million insurance policy, then how much should Anthem—and other healthcare companies—be willing to pay for breach coverage?

Feb. 17, 2015

Exodus from CoOpportunity Health puts strain on competitors

More than 106,000 former members are in the process of moving, and there are more to come.

By Heather Caspi • Feb. 13, 2015

Hospital-insurer integration set to increase in NC (and beyond)

Wake Forest Baptist is a particularly notable candidate to pursue health insurance offerings.

By Heather Caspi • Feb. 13, 2015

Flu drags down WellCare's Q4 earnings

But WellCare appears to be alone. Other issuers reported being impacted by flu costs, but still turned strong fourth-quarter profits.

By Heather Caspi • Feb. 12, 2015

UnitedHealthcare becomes third major insurer to partner with grocery stores

Will deals create incentives for consumers to eat better and live healthier? 

By Heather Caspi • Feb. 11, 2015

Average ACA premium is $105 after tax credits

Presenting the typical cost of monthly premiums with subsidies factored in is critical to educating potential consumers.

By Heather Caspi • Feb. 11, 2015

NAIC calls for multi-state security review of Anthem

The agency says it expects all of the US states and territories to participate in the examinations.

By Heather Caspi • Feb. 11, 2015

What 6 security experts have to say about the Anthem breach

How can your organization avoid a similar fate?

By Heather Caspi • Feb. 11, 2015

Report: Number eligible for cost-sharing reductions to increase

This form of financial assistance is available to those with an annual income that is at or below 250% of the federal poverty level. 

By Heather Caspi • Feb. 11, 2015

Was simple password theft the key to Anthem cyberattack?

"Anthem's primary security sin may not have been the lack of encryption, but instead improper access controls," says one data security expert. 

Feb. 11, 2015

Wyoming rejects Medicaid expansion

The Republican governor of the GOP-dominated state disagreed with the decision.

By Heather Caspi • Feb. 10, 2015

Anthem didn't encrypt consumer data

Anthem says that is "common" within the industry. Will the historic data breach lead to more stringent standards?

By Heather Caspi • Feb. 10, 2015

Medicare to cover lung cancer screenings

It's estimated the screenings may prevent up to 20% of lung cancer deaths—at a price.

By Heather Caspi • Feb. 9, 2015

5 specific improvements the AHA has suggested for MSSP

According to a recent letter to CMS from the American Hospital Association, the current MSSP proposal applies too many "sticks" and too few "carrots."

By Heather Caspi • Feb. 9, 2015

Anthem faces wave of class-action lawsuit filings

The company is seeing the fall-out following their epic data security breach.

By Heather Caspi • Feb. 9, 2015

Why 11 groups filed amicus briefs in King v. Burwell

Groups representing almost every healthcare stakeholder have filed friend of the court amicus briefs practically begging the Supreme Court to deny the appeal.

Feb. 9, 2015