Payer: Page
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Alabama governor signals interest in Medicaid
For months, Alabama’s governor has said no to Medicaid expansion, but that "no" has turned into a "maybe."
Dec. 15, 2014 -
Number of Americans with unpaid medical bills spikes to 42.9M
This is a provider problem as well as a consumer problem.
By Marisa Torrieri • Dec. 12, 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 -
Deductible-only plans chart big numbers on ACA exchanges
Some insurers are taking the Keep-It-Simple-Stupid approach and coming out as big winners in the latest ACA open enrollment.
Dec. 12, 2014 -
Partners HealthCare affiliate poised to report big losses
Is Sovaldi the culprit?
By Marisa Torrieri • Dec. 11, 2014 -
Spending bill expected to raise Obamacare premiums
What will the repercussions of rate raises be on consumer spending?
By Marisa Torrieri • Dec. 11, 2014 -
Deep Dive
Value-based compensation for physicians: Slow and steady wins the race?
Hospitals and physician groups are looking for more ways to incorporate quality metrics, but new survey data shows sluggish progress.
By Marisa Torrieri • Dec. 11, 2014 -
Oscar to reward members whose fitness band data looks good
Oscar co-founder Mario Schlosser was inspired by Flo, the perky Progressive Insurance TV commercial spokeswoman. But are there risks to the program?
Dec. 10, 2014 -
CA Blue Shield jumps into Medicaid market with acquisition
The purchase of another health plan marks the insurer's first foray into Medi-Cal.
By Marisa Torrieri • Dec. 10, 2014 -
Many docs listed as serving Medicaid patients actually don't
Are there enough incentives for providers to keep serving beneficiaries?
By Marisa Torrieri • Dec. 10, 2014 -
Non-profits juggle different charity care policies
Ambiguity in the ACA has made financial aid for the uninsured a big question mark for non-profits, leading many execs to wonder who should get aid and how to decide.
Dec. 9, 2014 -
How 15 state Medicaid programs are reducing 'super utilizer' costs
Just 5% of the 68 million Medicaid beneficiaries make up 60% of the program's overall spending.
By Marisa Torrieri • Dec. 9, 2014 -
MedStar's investment losses overcome managed-care revenue growth
MedStar lost $21.9 million during Q3 of this year despite significant growth in its managed care operations.
Dec. 8, 2014 -
New CMS rule aims to nix providers who don't pay fines
Will CMS' new rule succeed in keeping providers who can't pay fines out of the system?
By Marisa Torrieri • Dec. 4, 2014 -
Gallup: Insured patients avoid care due to cost
Are the desire to avoid excessively costly care in patients and the need to control population health costs competing incentives?
By Anne Zieger • Dec. 3, 2014 -
Aetna sues Highmark over provider contract
Highmark's decision to terminate its contract for Jefferson Hospital takes away one of Aetna's key market advantages.
By Katie Bo Williams • Dec. 2, 2014 -
Indiana's ACA challenge on hold until next year
The suit, which argues that ACA premium subsidies shouldn't be allowed, won't be heard by a federal judge until the Supreme Court rules on King v. Burwell.
By Anne Zieger • Dec. 2, 2014 -
Medicare plans big changes to ACO rules
The new proposal would extend the penalty-free period for Medicare ACOs to as much as six years if they meet key conditions.
By Anne Zieger • Dec. 2, 2014 -
Health plans often offer outdated in-network physician lists
Physicians say that health plans don't always bother to update in-network directories despite complaints about inaccurate listings.
By Anne Zieger • Dec. 1, 2014 -
Study: Providers increasingly outsourcing revenue cycle management
While revenue cycle management costs run from $30 to $90 per transaction, outsourcing RCM lowers expenses, researchers say.
By Anne Zieger • Nov. 26, 2014 -
Deep Dive
Why physician compensation is flat for some doctors
"The numbers look flat at first glance but they're actually really not," says a divisional VP of physician consulting and placement firm Merritt Hawkins.
By Marisa Torrieri • Nov. 25, 2014 -
Why private-practice oncologists are dwindling
Is the Affordable Care Act accelerating the trend?
By Marisa Torrieri • Nov. 25, 2014 -
HHS hopes to block group health plans without inpatient benefits
The ACA currently allows large employers to offer health plans that lack inpatient coverage, in the process barring workers from getting subsidies to purchase their own plans.
By Anne Zieger • Nov. 25, 2014 -
Republicans file long-awaited lawsuit challenging ACA
The lawsuit contends that President Obama has bypassed Congress to take "unilateral actions" in implementing the ACA, according to House Speaker John Boehner.
By Anne Zieger • Nov. 24, 2014 -
Medication spending makes double-digit jump in 2014
It will rise by 11.7% this year, according to a new survey—and expensive new drugs are a major source of the hike.
By Randy Lilleston • Nov. 21, 2014 -
Deep Dive
The Friday Dive: Is whistleblower action declining?
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Nov. 21, 2014
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