Payer: Page 230
-
Aetna Q4 profit rises 94%
The profit rise was driven partly by Aetna's acquisition of Coventry Health Care.
By Anne Zieger • Feb. 6, 2014 -
Ore. Medicaid ACOs slow ED visits, expand primary care use
Since the program launched, emergency visits by CCO members fell 13 percent.
By Anne Zieger • Feb. 5, 2014 -
Explore the Trendlineâž”
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 -
Cigna launches ACO with Texas doctors, health system
The new organization will embrace more than 17,000 Cigna health plan members.
By Anne Zieger • Feb. 4, 2014 -
Study: ED alerts help health plans save money
In the pilot program, alerts were sent to the participating health plan within 24 hours of a beneficiary's ED visit.
By Anne Zieger • Feb. 3, 2014 -
Hospitals brace themselves for narrow networks
Higher-priced hospitals might be shut out from many networks.
By Anne Zieger • Jan. 31, 2014 -
Lawmakers propose Medicare chronic care teams
The bill's supporters say the new program would create a better coordinated care process.
By Anne Zieger • Jan. 31, 2014 -
California AG sues Kaiser Foundation Health Plan over data breach
In 2011, an external hard drive from Kaiser containing personal information on more than 20,000 current and former Kaiser employees was accidentally sold to a member of the public.
By Anne Zieger • Jan. 31, 2014 -
CMS not taking new providers in high-fraud zones
CMS is temporarily blocking all new provider applications for Medicare, Medicaid and the Children's Health Insurance Program in areas where similar specialists are generating excessive claims.
By Anne Zieger • Jan. 31, 2014 -
ACO programs save Medicare $275M
Roughly 30% of ACOs in the Medicare Shared Savings Program generated enough savings to get back a share of the funds.
By Anne Zieger • Jan. 30, 2014 -
Cigna starts new ACOs
Cigna has partnered with networks in Illinois and Tennessee.
By Anne Zieger • Jan. 29, 2014 -
Massachusetts providers, payers partner on ICD-10 testing
The tests will be done using a secure online testing portal allowing providers and payers to work together on the ICD-10 shift.
By Anne Zieger • Jan. 29, 2014 -
Republicans Propose New Alternative to ACA
The proposed legislation would scrap many of the key provisions of the ACA, including the individual mandate.
By Anne Zieger • Jan. 28, 2014 -
New Hampshire hospitals fight to be included in HIX plan
Anthem Blue Shield of New Hampshire is the only payer offering a plan on New Hampshire's health insurance exchange.
By Anne Zieger • Jan. 27, 2014 -
UnitedHealth, Conn. doctors go into mediation over network cutbacks
A judge had issued a temporary restraining order against UnitedHealth in December, ordering it to hold off on making network cuts.
By Anne Zieger • Jan. 26, 2014 -
Workers electing to go with employer-based health plans
Analysts guess that workers see the employer plans as offering better benefits.
By Anne Zieger • Jan. 25, 2014 -
Gallup: Number of uninsured Americans is falling
These statistics could be the first evidence that ACA is working.
By Anne Zieger • Jan. 24, 2014 -
HealthCare.gov issues pose threat to insurers
A failure to fix HealthCare.gov's back end could expose the federal government and insurers to serious financial harm.
By Anne Zieger • Jan. 23, 2014 -
Major payers preparing to trim provider networks
Recent reimbursement cuts are so deep that some doctors feel being dropped is not so bad.
By Anne Zieger • Jan. 22, 2014 -
Deep Dive
How the ACA leaves the middle class uninsured
The ACA does little to nothing to help the middle class get covered.
By Anne Zieger • Jan. 21, 2014 -
Insurance continuity impacts health, Medicare costs
Uninterrupted prior health insurance led to lower Medicare spending in some service categories, as well.
By Anne Zieger • Jan. 21, 2014 -
UnitedHealth Q4 earnings rise 15%
UHG's enrollment grew by 4.5 million during 2013.
By Anne Zieger • Jan. 16, 2014 -
Public, charity hospitals create insurance plans of their own
The hospitals are offering options for patients with slightly higher incomes, more education and stable employment.
By Anne Zieger • Jan. 16, 2014 -
5 ways to mess up a RAC audit
Since Medicare began its RAC program in 2009, it's collected more than $5.4 billion in alleged overpayments.
By Anne Zieger • Jan. 14, 2014 -
Aetna brings smartphones to Ill. caretakers
The program is designed to help manage the home care of Medicaid-eligible seniors with disabilities.
By Anne Zieger • Jan. 13, 2014 -
Blues plans, U.K. firm to build international provider network
BCBSA's new partner, Bupa, covers 14 million people.
By Anne Zieger • Jan. 13, 2014
Previous
