Payer: Page 228
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Medicare Advantage payment changes anger health plans
Though CMS plans to boost Medicare advantage payments by 0.4%, insurers remain dissatisfied and expect to see rates fall in 2015.
By Anne Zieger • April 16, 2014 -
Good news for Obama: ACA costs lower than expected
The Congressional Budget Office predicts that health insurance subsidies under the ACA plan will total slightly more than 1 trillion over the next 10 years.
By Anne Zieger • April 14, 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 -
ACA enrollees' specialty med use is above average
Are exchange enrollees sicker than the general population? About 1.1% of total prescriptions covered by health marketplace plans during January and February were for specialty meds, compared with 0.75% in non-marketplace plans.
By Anne Zieger • April 10, 2014 -
Survey estimates gain of 9.3M insured
The bulk of the increase, from September 2013 to March, came from employer-based insurance.
By Anne Zieger • April 9, 2014 -
Medicare payment data released
The long-anticipated data on Medicare Part B payments, which identifies physicians by name and office location, is now a part of public record.
By Katie Bo Williams • April 9, 2014 -
Docs may not accept health exchange insurance
A new JAMA study found that hospitals and physicians take new patient appointments based partly on the patient's insurance.
By Anne Zieger • April 8, 2014 -
Deep Dive
ICD-10 delay: What next?
With no guidance yet from CMS, providers face a number of unanswered questions in the wake of the delay.
By Anne Zieger • April 7, 2014 -
Insurers could see millions more members
The extended deadline and direct enrollment with insurers may contribute to another spike in exchange enrollment.
By Anne Zieger • April 3, 2014 -
Exchange enrollee profiles bring big premium hikes
WellPoint led the way when CEO Joe Swedish announced he expected double-digit increases in 2015—surprising industry analysts who expected a substantially different growth rate.
By Anne Zieger • April 2, 2014 -
Consumers usually win when appealing denied claims
The ACA now allows all consumers to appeal any denied service to a third-party, such as a state insurance department—and they're winning.
By Anne Zieger • April 2, 2014 -
ACA signups could hit 7 million target
The HealthCare.gov site has seen a surge of more than 8 million visits over the last several days.
By Anne Zieger • March 30, 2014 -
WellPoint says it will ask for double-digit rate increases
The announcement came as a shock to many industry experts, and seems to suggest fears about the ACA risk pool.
By Anne Zieger • March 27, 2014 -
Penn. hospitals cut 3,900 employees in one year
And the cuts aren't over: Many of the state's hospitals plan to make cuts to their services and workforces going forward.
By Anne Zieger • March 27, 2014 -
Half of uninsured to go without coverage
A new Kaiser poll found that 50% of those under the age of 65 who are currently uninsured plan to remain without insurance.
By Anne Zieger • March 26, 2014 -
California enacts law protecting patients during health plan shifts
The new law is designed to ensure that consumers receiving treatment for certain conditions can continue seeing their existing provider during plan changes.
By Anne Zieger • March 26, 2014 -
Emory Healthcare does care model deal with WellPoint
Emory has agreed to implement WellPoint subsidiary's clinical care model for its Medicare Advantage population.
By Anne Zieger • March 25, 2014 -
AHIP advocates for lower tier of ACA plans
The insurance trade group suggests that adding a lower-priced option with fewer benefits could boost enrollment.
By Anne Zieger • March 24, 2014 -
CMS focuses on regulating Medicare Advantage network changes
New proposed rules require insurers to give members and providers more notice of major network changes.
By Anne Zieger • March 24, 2014 -
WellPoint boosts 2014 earnings predictions
WellPoint expects that expansion of Medicaid programs in several states will drive significant enrollment gains, and has adjusted its earnings forecast accordingly.
By Anne Zieger • March 23, 2014 -
WellPoint signs Medicare Advantage deal
WellPoint's CareMore unit will work with Emory Healthcare to collaboratively manage about 7,500 Medicare Advantage patients.
By Anne Zieger • March 19, 2014 -
SSM Health Care, Anthem start ACO relationship
The new relationship with the St. Louis-based provider will concentrate on Anthem members with chronic conditions to improve overall health.
By Anne Zieger • March 18, 2014 -
Health exchanges bring mixed levels of competition
Some states have more competitive markets than before the exchanges opened and some less, while others remain dominated by the same players that they were a year ago.
By Anne Zieger • March 18, 2014 -
Cigna CEO pay quadrupled in 2013
CEO David Cordani is just one of the top Cigna brass that received big salaries last year.
By Anne Zieger • March 18, 2014 -
Deep Dive
Does the Private Option sink or save providers?
Healthcare Dive takes a closer look: Is the Private Option's impact on Arkansas hospitals and community clinics going to demonstrate a pilot program or a cautionary tale for other states?
By Katie Bo Williams • March 14, 2014 -
Sebelius predicts higher premiums for next year
Health and Human Services Secretary Kathleen Sebelius told Congress this week that premiums will likely increase next year under the ACA.
By Anne Zieger • March 13, 2014
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