Payer: Page 231


  • Private healthcare cost increases slowed down in 2013

    Though they have theories, experts don't know what's causing the slowdown.

    By Jan. 13, 2014
  • Humana: ACA enrollment more adverse than predicted

    Despite possible ACA policy losses, the payer is still standing by its 2014 earnings guidance.

    By Jan. 10, 2014
  • Explore the Trendlineâž”
    Image attribution tooltip
    Yujin Kim/Healthcare Dive
    Image attribution tooltip
    Trendline

    Payer/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
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip
    Deep Dive

    Why value-based payments can't work

    Many aspects of value-based, bundled payment models are basically capitation dressed in new clothes. 

    By Jan. 10, 2014
  • Providers still behind on ICD-10

    With the ICD-10 switchover deadline just nine months away, many providers are still way behind.

    By Jan. 9, 2014
  • Will accountable care bring back old mistakes?

    Accountable care models may not be any better than what we already have on hand, the authors write.  

    By Jan. 8, 2014
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    ACO launched between payer, physician group in NJ

    The ACO will cover about 20,000 health plan beneficiaries.

    By Jan. 7, 2014
  • Health plans use kiosk data to sell ACA policies

    Health plans are collecting data such as names, addresses and phone numbers to use in marketing schemes.

    By Jan. 6, 2014
  • Texas considers boosting requirements for ACA 'navigators'

    The new rules would require 40 additional  hours of training for ACA healthcare "navigators" and cost more than $800 per year.

    By Jan. 6, 2014
  • Aetna collects mobile apps to help chronic conditions, improve med adherence

    CarePass is a one-stop hub for consumer health and wellness apps.

    By Jan. 6, 2014
  • Health insurers, drugstores allow pre-enrolled ACA beneficiaries to use policies

    The move is seen as a chance for health plans and drugstore chains to build good relationships with newly-insured patients.

    By Jan. 4, 2014
  • Image attribution tooltip
    Fotolia
    Image attribution tooltip

    UnitedHealthcare forms ACO with two large physician groups

    In excess of 20,000 patients enrolled in UnitedHealthcare's employer-sponsored health plans have access to the ACO.

    By Jan. 2, 2014
  • Health reform exchange enrollment climbs to over 1.1M

    The HealthCare.gov site saw a surge of 850,000 visits after the administration offered a one-day extension for people to sign up for coverage effective January 1.

    By Dec. 30, 2013
  • Recruiting young adults to exchange plans not vital

    Premiums aren't as sensitive to the enrolled mix of beneficiary as payer and policymakers fear, research suggests.

    By Dec. 19, 2013
  • Insurers: Increased use, costs driving up premiums

    Though the ACA has had a very minimal financial effect on healthcare premiums, many consumers consider it to be the driver of steadily increasing health insurance costs.

    By Dec. 19, 2013
  • Cleveland health system, UnitedHealthcare launch joint ACO

    The health system and health plan are working together to better coordinate care.

    By Dec. 19, 2013
  • Payers launch ad campaign to attract younger customers

    Insurers have mounted a last-ditch ad campaign intended to attract the younger, healthier patients they truly want.

    By Dec. 16, 2013
  • Hospital networks on health exchange plans are small

    The majority of the lowest priced insurance plans sold on the health exchanges marketplaces use very small hospital networks.

    By Dec. 15, 2013
  • Academic medical centers being squeezed out of exchange plans

    Their costs are higher than most hospitals.

    By Dec. 13, 2013
  • New service offers consumers claims monitoring

    The new service monitors submission of claims to help consumers find fraudulent transactions.

    By Dec. 12, 2013
  • Study: Medicare offers good doc access

    The study found that nearly all respondents had regular access to a doctor's office or clinic.

    By Dec. 11, 2013
  • Class-action suit against Sutter revived

    The lawsuit alleges that Sutter is using its monopoly power to charge higher rates, driving up insurance premiums.

    By Dec. 10, 2013
  • BCBS of Michigan partners with health system on value-based payment

    The healthcare system will get funding for infrastructure improvements necessary to coordinate physician care with hospitals.

    By Dec. 10, 2013
  • Image attribution tooltip
    Getty
    Image attribution tooltip

    UnitedHealthcare barred from dropping docs from Medicare Advantage plans

    The ruling could have a national impact, as other insurers consider tightening their Medicare Advantage networks too.

    By Dec. 9, 2013
  • Ariz. tells insurers not to renew non-conforming health plans after December

    The Arizona Department of Insurance is urging state health plans to renew existing coverage before the end of the year.

    By Dec. 7, 2013
  • Study: ACA policies not enough for chronically ill

    Chronically-ill adults enrolled in bronze level health plans through the exchanges are likely to reach out-of-pocket maximums each year.

    By Dec. 6, 2013