Payer: Page 231
-
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 -
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 -
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 -
Health plans unsure of 2015 prices amid unknown factors
The exchange marketplace is an uncharted territory that has insurers proceeding cautiously.
By Anne Zieger • March 12, 2014 -
Deep Dive
Health plans are the winners in ACA sweepstakes
If you had any doubts as to who would benefit the most from the ACA, shelve them: it's the health plans. Industry Dive takes a deeper look into what Wall Street has to tell us about health reform stakeholders.
By Anne Zieger • March 11, 2014 -
CMS plan to expand ACA networks would benefit safety-net hospitals
Growth in the use of narrow networks has been a negative development for nonprofit hospitals.
By Anne Zieger • March 7, 2014 -
Study: Public opinion on narrow networks varies
About half of the public prefers costlier plans with broader networks.
By Anne Zieger • March 6, 2014 -
Insurers eligible for up to $5.5B to cover ACA losses
Critics call this move a bailout, proponents an important safety valve.
By Anne Zieger • March 5, 2014 -
NY exchange plans may be required to offer out-of-network benefits
Insurers say the requirement could cripple the marketplace.
By Anne Zieger • March 5, 2014 -
UnitedHealth offers online payments
Since last July, UH members have made more than $20 million in payments online.
By Anne Zieger • March 3, 2014
Previous
