Estimated cost of ACA cut, enrollment grows to 9.5M

Two new reports from the Congressional Budget Office and HHS reveal encouraging numbers about the Affordable Care Act. 

By Heather Caspi • Jan. 28, 2015

The limited impact of price transparency on consumer behavior

Price comparisons provide some incentive to consumers, but the impact of cost variation on how they determine value may surprise you. 

By Heather Caspi • Jan. 28, 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

Value-based Medicare goals undermined by hazy roadmap

HHS announced Monday that it aims for 50% of Medicare payments to be tied to alternative payment models by the end of 2018.

Jan. 28, 2015

Massachusetts insurers challenge risk assessment payments

The state's smaller insurers say flawed data will unfairly force them to buoy big Blue Cross Blue Shield.

By Heather Caspi • Jan. 27, 2015

UnitedHealthcare launches physician-led ACO in TX

The move is part of UnitedHealthcare's consistent march toward value-based reimbursement programs.

By Heather Caspi • Jan. 27, 2015

Indiana expands Medicaid to 350,000

Another Republican-led state has accepted federal funding to expand the program. 

By Katie Bo Williams • Jan. 27, 2015

Is the Multi-State Plan Program getting more flexible?

What changes can issuers expect to see in 2015? 

By Heather Caspi • Jan. 27, 2015

Medicare sets specific benchmarks for value-based reimbursement

This is the first time HHS has set numerical goals for the payment overhaul. 

By Marisa Torrieri • Jan. 27, 2015

Lawmakers meet over doc fix bill

Last year's bipartisan deal has been resurrected. What's next?

By Marisa Torrieri • Jan. 23, 2015

The Friday Dive: Will the new Medicaid reimbursement study lead to boosted rates?

Healthcare Dive's editor looks back on the biggest news from the last week. 

By Katie Bo Williams • Jan. 23, 2015

Is the shift of employees to exchange plans gaining traction?

Exchanges were new last year and the employer mandate fines were not yet in effect, but now we can expect to see more movement.

By Heather Caspi • Jan. 21, 2015

Tennessee CO-OP freezes enrollment

What does this mean for the remaining 21 cooperative plans? 

By Katie Bo Williams • Jan. 21, 2015

Poll: Majority still supports single payer

But will any state ever adopt such a system?

By Heather Caspi • Jan. 21, 2015

UnitedHealth proposal to sell coverage across CA rejected

UnitedHealth, which covers 3.1 million Californians, is now prevented from selling statewide until at least 2017.

By Heather Caspi • Jan. 21, 2015

3 things payers can expect from the Risk Corridors program in 2015

According to one analyst, there's a big risk that plans "just [won't] get funding or as much funding as they should under Risk Corridors."

By Heather Caspi • Jan. 21, 2015

Blue Shield, Sutter at impasse in CA

Blue Shield is telling customers to start looking for other healthcare providers, and both sides stand to lose clients.  

By Heather Caspi • Jan. 21, 2015

How strained physicians are handling the Medicaid reimbursement drop

"It is really much more cost-effective to see poor patients for free than to get involved with the Medicaid bureaucracy," says one general internist. 

By Marisa Torrieri • Jan. 21, 2015

Wearable device success depends on engagement

Programs and policies created around wearable devices may benefit from some very particular strategies.

By Heather Caspi • Jan. 20, 2015

ACA exchange patients no sicker than average, data suggests

But should the data be taken with a grain of salt? 

By Heather Caspi • Jan. 20, 2015

Pennsylvania to pay $48.8M in Medicaid case

The state is being held accountable for providing benefits to non-citizens.

By Heather Caspi • Jan. 20, 2015

Blues revenue reflects impact of ACA

The Blue Cross and Blue Shield companies dominated the exchanges in 2014. Some analysts suggest the consequences of that strategy outweighed the benefits. 

By Heather Caspi • Jan. 14, 2015

Aetna wage hike a first among health insurers

Will the increase to a base pay rate of $16/hour pay off by generating other savings? 

By Heather Caspi • Jan. 14, 2015

Filing deadline ahead for controversial risk corridors program

Insurers should mark their calendars for Friday, Feb. 13.

By Heather Caspi • Jan. 14, 2015

Trinity, Heritage join to create massive ACO

Given its recent merger with St. Francis, what does nonprofit titan Trinity have up its sleeve next?

Jan. 14, 2015

Medicare to pay physicians to coordinate care

The new $40-per-beneficiary fee does come with some requirements. 

By Katie Bo Williams , Marisa Torrieri • Jan. 13, 2015