Payer: Page
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New bill would boost telehealth and value-based care in ACOs
The ACO Improvement Act takes a multi-pronged approach to supporting accountable care organizations.
By Tammy Worth • Sept. 29, 2014 -
Bundled payment initiative fails
Though bundled payments have worked in scattered situations, the outcome of this experiment shows why they haven't been widely implemented.
By Anne Zieger • Sept. 26, 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 -
WEDI survey reveals cost of ICD-10 delay on providers
Providers, particularly smaller ones, continue to struggle with the transition.
By Tammy Worth • Sept. 26, 2014 -
HHS: Uncompensated care drops $5.7B under ACA
Nearly three-quarters of the savings will be in states that expanded Medicaid.
By Tammy Worth • Sept. 26, 2014 -
Deep Dive
The Friday Dive: How bad is the antibiotic resistance crisis?
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Sept. 26, 2014 -
And then there were 19: More Pioneer ACOs leave the program
At least two of the three departing organizations plan to shift to the Medicare Shared Savings Program.
By Katie Bo Williams • Sept. 25, 2014 -
State Farm to sell Blue Cross exchange plans
State Farm is traditionally better-known for its auto and home ownership insurance products, so this is a significant move.
By Katie Bo Williams • Sept. 25, 2014 -
What the two lowest-enrollment state exchanges have in common
Can one health insurer really sink a state exchange? Ask Iowa and South Dakota.
By Tammy Worth • Sept. 25, 2014 -
Highmark sued over cuts to MA plans in Pennsylvania
The insurer claims cuts are due to sequestration, but can they pass those on without contract changes?
By Tammy Worth • Sept. 25, 2014 -
Mount Sinai fights $30M fine in unprecedented Medicaid suit
One of New York City's largest nonprofits wants a federal court to toss a case imposing penalties for late repayments to Medicaid.
By Anne Zieger • Sept. 25, 2014 -
Conflict of interest: Should payers be allowed to rate providers?
Supposedly, such rankings are there to help consumers find the highest quality, most efficient providers.
By Anne Zieger • Sept. 25, 2014 -
Number of Part D drug plans to shrink significantly in 2015
Plan sponsor consolidation may drop premiums modestly, but will it put needed drugs out of the consumer's reach?
By Anne Zieger • Sept. 24, 2014 -
FTC criticizes reference pricing strategies
A new essay from economists at the Federal Trade Commission follows a recent crackdown on hospital mergers.
By Anne Zieger • Sept. 24, 2014 -
Insurers offering marketplace plans to jump 25% in 2015
According to HHS analysis, the number of new entrants to the marketplaces is anticipated to be over five times the number of exiting insurers.
By Katie Bo Williams • Sept. 23, 2014 -
Deep Dive
The major challenges Medicare ACOs create for providers
New CMS data shows that only about half of all ACOs are seeing a return on investment.
By Tammy Worth • Sept. 23, 2014 -
Adults left out of autism coverage mandates
In a handful of states, families have been successful at suing to receive benefits under mental health parity laws.
By Tammy Worth • Sept. 22, 2014 -
Deep Dive
How payers think hospitals can avoid mergers
AHIP is fighting the trend of hospital M&A, but are its proposed alternatives enough?
By Tammy Worth • Sept. 22, 2014 -
UnitedHealthcare tool caused consumers to choose higher-quality providers
The study suggests that offering consumers cost-saving tools can help direct them to high-quality providers. But are there some fallacies here?
By Anne Zieger • Sept. 22, 2014 -
Highmark loses big contract to UnitedHealthcare
A sign of challenges to come for the insurer?
By Anne Zieger • Sept. 22, 2014 -
Coalition sues California Department of Health over Medi-Cal delay
The suit claims some applicants have waited nearly a year for a decision.
By Tammy Worth • Sept. 19, 2014 -
States requiring payers to report what they pay providers
And some states are making those prices available to consumers, too.
By Anne Zieger • Sept. 19, 2014 -
Verizon, MIT startup partner with research firm in mHealth venture
The program targets a specific group of Medicaid's most costly patients.
By Tammy Worth • Sept. 19, 2014 -
Changes to Medicare Advantage may ding expected record enrollment
CMS has announced that enrollment in MA plans is expected to reach an all-time high next year, but some key changes may put pressure on the program.
By Tammy Worth • Sept. 19, 2014 -
CMS announces 7.3M with ACA plans have paid premiums
How significant is this new number?
By Katie Bo Williams • Sept. 18, 2014 -
Fitbit hires Snapchat lobbyists to improve privacy image
Legislators have voiced concern that device companies will sell information to groups like insurers, where the data could be used to discriminate against beneficiaries.
By Tammy Worth • Sept. 18, 2014
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