Payer: Page 228
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Health plans, employers ready to cover telemedicine
After years of slow growth for telemedicine services, many employers and health plans are now changing their minds.
By Anne Zieger • Sept. 30, 2014 -
New bill would boost telehealth and value-based care in ACOs
The ACO Improvement Act takes a multi-pronged approach to supporting accountable care organizations.
By Tammy Worth • Sept. 29, 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 -
Bundled payment initiative fails
Though bundled payments have worked in scattered situations, the outcome of this experiment shows why they haven't been widely implemented.
By Anne Zieger • Sept. 26, 2014 -
WEDI survey reveals cost of ICD-10 delay on providers
Providers, particularly smaller ones, continue to struggle with the transition.
By Tammy Worth • Sept. 26, 2014 -
HHS: Uncompensated care drops $5.7B under ACA
Nearly three-quarters of the savings will be in states that expanded Medicaid.
By Tammy Worth • Sept. 26, 2014 -
Deep Dive
The Friday Dive: How bad is the antibiotic resistance crisis?
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Sept. 26, 2014 -
And then there were 19: More Pioneer ACOs leave the program
At least two of the three departing organizations plan to shift to the Medicare Shared Savings Program.
By Katie Bo Williams • Sept. 25, 2014 -
State Farm to sell Blue Cross exchange plans
State Farm is traditionally better-known for its auto and home ownership insurance products, so this is a significant move.
By Katie Bo Williams • Sept. 25, 2014 -
What the two lowest-enrollment state exchanges have in common
Can one health insurer really sink a state exchange? Ask Iowa and South Dakota.
By Tammy Worth • Sept. 25, 2014 -
Highmark sued over cuts to MA plans in Pennsylvania
The insurer claims cuts are due to sequestration, but can they pass those on without contract changes?
By Tammy Worth • Sept. 25, 2014 -
Mount Sinai fights $30M fine in unprecedented Medicaid suit
One of New York City's largest nonprofits wants a federal court to toss a case imposing penalties for late repayments to Medicaid.
By Anne Zieger • Sept. 25, 2014 -
Conflict of interest: Should payers be allowed to rate providers?
Supposedly, such rankings are there to help consumers find the highest quality, most efficient providers.
By Anne Zieger • Sept. 25, 2014 -
Number of Part D drug plans to shrink significantly in 2015
Plan sponsor consolidation may drop premiums modestly, but will it put needed drugs out of the consumer's reach?
By Anne Zieger • Sept. 24, 2014 -
FTC criticizes reference pricing strategies
A new essay from economists at the Federal Trade Commission follows a recent crackdown on hospital mergers.
By Anne Zieger • Sept. 24, 2014 -
Insurers offering marketplace plans to jump 25% in 2015
According to HHS analysis, the number of new entrants to the marketplaces is anticipated to be over five times the number of exiting insurers.
By Katie Bo Williams • Sept. 23, 2014 -
Deep Dive
The major challenges Medicare ACOs create for providers
New CMS data shows that only about half of all ACOs are seeing a return on investment.
By Tammy Worth • Sept. 23, 2014 -
Adults left out of autism coverage mandates
In a handful of states, families have been successful at suing to receive benefits under mental health parity laws.
By Tammy Worth • Sept. 22, 2014 -
Deep Dive
How payers think hospitals can avoid mergers
AHIP is fighting the trend of hospital M&A, but are its proposed alternatives enough?
By Tammy Worth • Sept. 22, 2014 -
UnitedHealthcare tool caused consumers to choose higher-quality providers
The study suggests that offering consumers cost-saving tools can help direct them to high-quality providers. But are there some fallacies here?
By Anne Zieger • Sept. 22, 2014 -
Highmark loses big contract to UnitedHealthcare
A sign of challenges to come for the insurer?
By Anne Zieger • Sept. 22, 2014 -
Coalition sues California Department of Health over Medi-Cal delay
The suit claims some applicants have waited nearly a year for a decision.
By Tammy Worth • Sept. 19, 2014 -
States requiring payers to report what they pay providers
And some states are making those prices available to consumers, too.
By Anne Zieger • Sept. 19, 2014 -
Verizon, MIT startup partner with research firm in mHealth venture
The program targets a specific group of Medicaid's most costly patients.
By Tammy Worth • Sept. 19, 2014 -
Changes to Medicare Advantage may ding expected record enrollment
CMS has announced that enrollment in MA plans is expected to reach an all-time high next year, but some key changes may put pressure on the program.
By Tammy Worth • Sept. 19, 2014 -
CMS announces 7.3M with ACA plans have paid premiums
How significant is this new number?
By Katie Bo Williams • Sept. 18, 2014
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