Payer: Page 232
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Most large insurers offering plans through federal HIX
Insurer market share in a region is a good predictor whether they'll be participating in the federal healthcare exchanges.
By Anne Zieger • Dec. 6, 2013 -
Moody's: Reform law delays could hurt insurers
New ACA fixes could have a negative effect on t he risk pool for insurers selling on health plans on the exchanges.
By Anne Zieger • Dec. 5, 2013 -
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 -
Jettisoning fee-for-service would harm ED care, docs say
Shifting from fee-for-service to bundled payment shouldn't be done with a "blunt instrument," according to one doctor.
By Anne Zieger • Dec. 4, 2013 -
$17B paid out to date in Meaningful Use incentive payments
As of October's end, more than 430,000 eligible hospitals and professionals had achieved some form of Meaningful Use compliance.
By Anne Zieger • Dec. 4, 2013 -
Signups on Healthcare.gov poised to surge
Sign-ups on the Healthcare.gov website quadrupled between October.
By Anne Zieger • Dec. 3, 2013 -
CMS will pay PCPs for complex services outside of visits
The new policy could help reduce hospitalizations and ED trips.
By Anne Zieger • Nov. 28, 2013 -
IRS will begin collecting insurer taxes to pay for ACA
Health insurers with premium revenues over $25 million annually will pay a new tax.
By Anne Zieger • Nov. 27, 2013 -
Obama plan would help health insurers offset losses
The plan would help insurers who allow consumers to keep their existing plans.
By Anne Zieger • Nov. 27, 2013 -
CMS to slow down reimbursement cuts to dialysis providers
Overall payments for 2014 will remain the same, CMS announced in its final rule on the subject.
By Anne Zieger • Nov. 22, 2013 -
White House gives consumers extra time to enroll in health exchange plans
Consumers still have sign up by March 31 to avoid the tax penalty imposed by the ACA.
By Anne Zieger • Nov. 22, 2013 -
AHA: Most hospitals see Medicare RAC reviews
90% of hospitals saw Recovery Audit Contractor activity during this year's third quarter.
By Anne Zieger • Nov. 22, 2013 -
Employers checking out consumer-directed plans, wellness programs
Employers are choosing these plans because they're more affordable than PPO and HMO offerings.
By Anne Zieger • Nov. 21, 2013 -
Doctors' info compromised in Anthem data breach
Physicians' personal information was posted live online for more than 24 hours last month.
By Anne Zieger • Nov. 21, 2013 -
Consumers fear lower-cost care is worse care
Lower-cost providers will need to show quality ratings alongside prices to demonstrate that they offer good, safe care.
By Anne Zieger • Nov. 20, 2013 -
States work to shield consumers from ACA premium increases
State strategies include regulating types of policies offered and finding ways to transition existing high-risk pools to avoid reform-driven rate increases.
By Anne Zieger • Nov. 20, 2013 -
Insurers, providers take bundled payments seriously
Experts argue that bundled payments will be a central part of any solution to the problems of the U.S. healthcare system.
By Anne Zieger • Nov. 20, 2013 -
Reference pricing can lower healthcare costs
Health plans and employers hope to set reasonable prices on key services to lower costs.
By Anne Zieger • Nov. 19, 2013 -
Cigna, Kaiser lead in engaging members with technology
The two insurers are making a big effort to connect directly with their members.
By Anne Zieger • Nov. 19, 2013 -
CMS developing HIX plan rating system
The new rankings will include ratings for plans' relative quality, as well as their price and health outcomes.
By Anne Zieger • Nov. 18, 2013 -
Deep Dive
The direct primary care sector is growing, and you need to know about it
For monthly fees that typically range below $100, patients get unlimited access to primary care doctors.
By Anne Zieger • Nov. 18, 2013 -
Tenn. Blue plan to extend coverage
Policies that don't conform with ACA rules will remain in force only for those who currently hold them.
By Anne Zieger • Nov. 16, 2013 -
MI bill would force disclosure of ACA's effect on premiums
The bill would require that health plans report the ACA's financial effect through 2018.
By Anne Zieger • Nov. 16, 2013 -
Medicaid beneficiaries remain ED users
High ED use rates by the Medicaid-insured may reflect higher rates of disability and chronic conditions.
By Anne Zieger • Nov. 15, 2013 -
Nearly 1,500 hospitals get lower reimbursement under Medicare's Value-Based Purchasing Program
Some hospitals were able to go from losing last year to getting ahead this year.
By Anne Zieger • Nov. 15, 2013 -
HHS OIG scrutinizes outlier payments to hospitals
The HHS Office of the Inspector General wants to know why outlier payment levels vary so widely across the U.S.
By Anne Zieger • Nov. 15, 2013
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