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Medicare telehealth payments to rise in 2015
The American Telemedicine Association still did not get everything it asked for in the new 2015 payment rules.
By Katie Bo Williams • Nov. 3, 2014 -
Supreme Court will not hear ACA subsidy case (at least for now)
What happens next?
By Katie Bo Williams • Nov. 3, 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 -
Medicare paying for drugs for the dead
Medicare's policy of paying for prescriptions filled up to 32 days after a patient's death may have cost the agency millions and fueled the black market for costly drugs.
By Anne Zieger • Nov. 3, 2014 -
Insurer uses communication pilot to reduce malpractice suits
The California-based insurer is hoping that a simple digital health tool will help reduce orthopedic claims.
By Tammy Worth • Nov. 3, 2014 -
Study: How is the ACA being advertised?
The ACA has generated an unprecedented volume of political and health insurance advertising, but despite its volume, it's not clear what impact the ad blitz has had on consumers.
By Anne Zieger • Nov. 3, 2014 -
Deadline today for providers to respond to CMS appeal offer
The agency wants to cut back the backlog of challenged Medicare claims. But will hospitals take the offer?
By Anne Zieger , Katie Bo Williams • Oct. 31, 2014 -
Feds sue vendor and NYC for millions in Medicaid fraud
The Times reports that false diagnosis data was used on more than 600,000 claims totaling $49M in payments in just a four-day period in 2009.
By Tammy Worth • Oct. 31, 2014 -
Arkansas private option in jeopardy
Will the state of Arkansas' version of the Medicaid expansion stay in place? It all depends on a couple of key elections.
By Anne Zieger • Oct. 31, 2014 -
Deep Dive
Supreme Court to discuss today if it will take subsidy case
Experts say the decision to take the case would be an overtly political move.
By Tammy Worth • Oct. 31, 2014 -
Deep Dive
The bottom line: What has the ACA done for hospitals?
26 million citizens are newly insured under the ACA, but what has the overall impact been on the industry?
By Tammy Worth • Oct. 30, 2014 -
Study: Premiums rose dramatically after ACA implementation
But is comparing premiums before and after like comparing applies and oranges?
By Tammy Worth • Oct. 30, 2014 -
Montgomery County Planning Commission
Aetna Q3 profits rise despite increased medical costs
Do those increased costs speak to a trend?
By Tammy Worth • Oct. 29, 2014 -
Optum picks up Alere Health for $600M
The deal offers at least two obvious advantages to UnitedHealth Group subsidiary Optum.
By Anne Zieger • Oct. 29, 2014 -
Medicaid directors ask Congress to address specialty drug prices
But will they be successful? Pharma has a strong track record at beating back initiatives designed to control costs.
By Anne Zieger • Oct. 29, 2014 -
UHS shows increased volumes, lowered revenue
The hospital's increase in patient volumes was not enough to buffer it from higher costs and other fees in Q3.
By Tammy Worth • Oct. 29, 2014 -
Do the feds expect to lose the subsidy battle?
...and will insurers pull their products from the exchange if they do?
By Katie Bo Williams • Oct. 28, 2014 -
Are backers of high-deductible plans ignoring the facts?
Several studies suggest that high-deductible plans aren't as efficient at reducing healthcare spending as supporters may think.
By Anne Zieger • Oct. 28, 2014 -
Sam's Club, Aetna to launch private insurance exchange
The retailer is banking on the fact that customers will turn to them, rather than SHOP exchanges, to satisfy the employer mandate.
By Tammy Worth • Oct. 27, 2014 -
New York hospitals launching health insurance plans
These providers are relying on their sophisticated infrastructure and substantial market share. But are most providers ready to take on that level of risk?
By Anne Zieger • Oct. 27, 2014 -
Humana may sell urgent care subsidiary Concentra
The move could be a sign that the merger of insurers and providers to cut costs might not be smooth sailing.
By Tammy Worth • Oct. 24, 2014 -
Highmark request to block hearing denied
The saga continues, and the case will move forward after a federal judge refused Highmark's motion for a restraining order.
By Tammy Worth • Oct. 23, 2014 -
89% of uninsured don't know open enrollment begins next month
A new Kaiser Family Foundation poll revealed some concerning results.
By Tammy Worth • Oct. 22, 2014 -
PhRMA blames insurance companies for drug access woes
AccessBetterCoverage.org is chock-full of insurance facts. But its real message is that health insurers, and not pharma, are guilty of shifting drug costs onto consumers.
By Nicole Gray • Oct. 21, 2014 -
MedPAC pushes for better physician payment rates
In its October meeting, the commission expressed concern that primary care continues to be undervalued in Medicare's fee schedule.
By Tammy Worth • Oct. 21, 2014 -
Is CVS Caremark using cigarette co-pay to muscle out competitors?
...and is the new practice by Caremark-managed plans anti-competitive?
By Katie Bo Williams • Oct. 20, 2014
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