Payer: Page
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Health groups urge Congress to keep next year's ICD-10 deadline
As the groups noted, HHS projects that any additional delays could cost payers and providers as much as $6.6 billion.
By Anne Zieger • Nov. 20, 2014 -
New government data on Obamacare premiums shows encouraging trends
Initial 2015 Obamacare data from 38 states shows an increased number of insurers and improved competition.
By Marisa Torrieri • Nov. 19, 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 -
Study: Big-city hospitals face higher readmission penalties
Reasons for the trend could include that urban areas have unfavorable demographics, including lower rates of education and higher unemployment.
By Anne Zieger • Nov. 19, 2014 -
ICD-10: Maybe not the crisis hospitals anticipated?
Is the ongoing hue and cry from providers justified? New numbers suggest not.
By Anne Zieger • Nov. 19, 2014 -
Deep Dive
3 things hospitals anticipate from the ACA's second enrollment period
Does the smooth launch of the second open enrollment period bode well for hospitals? Some experts sound a cautionary note.
By Judy Packer-Tursman • Nov. 18, 2014 -
Which state had a troubled exchange roll-out on Saturday?
Last year's open enrollment period was a technological disaster. This year went much smoother for Healthcare.gov, but at least one state exchange did face problems.
By Katie Bo Williams • Nov. 17, 2014 -
ACA premiums rising this year for existing enrollees
Americans who are already enrolled in ACA plans will still get subsidies, but those subsidies may not go as far as they did last year.
By Anne Zieger • Nov. 17, 2014 -
Deep Dive
The Friday Dive: CVS reveals drug utilization data
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Nov. 14, 2014 -
Report: Out-of-pocket costs skyrocket for employees
Premium costs have also almost doubled since 2010 for the average person with an employer-sponsored plan.
By Katie Bo Williams • Nov. 13, 2014 -
UnitedHealth restructures management after key exec leaves
The giant health insurer didn't say what triggered the departure of health insurance division leader Gail Boudreaux, who some thought was poised to take over as CEO someday.
By Anne Zieger • Nov. 13, 2014 -
Halbig case on hold until SCOTUS rules on King
Premium subsidies for plans purchased on the federal exchange hang in the balance.
By Katie Bo Williams • Nov. 12, 2014 -
Pioneer ACO health system kicks off new commercial ACO
Despite having been burned in the Pioneer program, a Maine health system has decided to launch the state's largest commercial ACO with the state's largest health insurer.
By Anne Zieger • Nov. 12, 2014 -
Some Pioneer ACOs to solicit enrollment
If beneficiaries enroll voluntarily, are they more likely to seek care within the ACO's provider network?
By Katie Bo Williams • Nov. 11, 2014 -
Anthem Blue Cross reveals member information in emails
It is unclear at this time whether or not the incident will require a breach notification.
By Katie Bo Williams • Nov. 11, 2014 -
HHS drops enrollment estimates
The agency's numbers are significantly lower than the most recent Congressional Budget Office estimates.
By Katie Bo Williams • Nov. 10, 2014 -
RWJF: Insurance rates flat or decreasing in many states
The new study appears to back up the theory that increasing competition in the exchange marketplaces will drop premiums across the board.
By Katie Bo Williams • Nov. 10, 2014 -
Supreme Court to take subsidy case
If the Court rules in favor of the plaintiffs, the decision could wreak havoc on the structure of the Affordable Care Act.
By Katie Bo Williams • Nov. 7, 2014 -
Largest US pharma benefits manager may seek alcohol/tobacco-free network
Express Scripts has been keeping a close eye on CVS Caremark's anti-tobacco crusade.
By Nicole Gray • Nov. 6, 2014 -
Health center operator, patient recruiter jailed for $258M in Medicare fraud
Leveraging partial hospitalization programs for Medicare fraud seems to be an emerging trend.
By Katie Bo Williams • Nov. 6, 2014 -
OIG audits to target Medicare Advantage plans
Specifically? Risk inflation.
By Katie Bo Williams • Nov. 5, 2014 -
New HHS guidance: Employer health plans must cover inpatient services
A previous loophole in the Affordable Care Act allowed self-insured employers to design "skinny" plans without hospitalization coverage.
By Katie Bo Williams • Nov. 5, 2014 -
Study: Extra day in hospital may save lives, cut long-term costs
Readmissions cost almost $17 billion annually. This new study suggests longer stays can significantly reduce that.
By Randy Lilleston • Nov. 4, 2014 -
MA, Obama administration strike 5-year Medicaid waiver deal
The state administration praised the length and size of the deal—although the level of funding provided was lower than they had originally requested.
By Sy Mukherjee • Nov. 4, 2014 -
Aetna shores up private exchange business with $400M purchase
The cash purchase allows Aetna to continue to position itself as a benefits administrator.
By Katie Bo Williams • Nov. 3, 2014 -
Will Medicare begin paying for end-of-life counseling in 2016?
The administration is considering it. Cue the political debate.
By Katie Bo Williams • Nov. 3, 2014
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