Payer: Page 233
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ACO programs save Medicare $275M
Roughly 30% of ACOs in the Medicare Shared Savings Program generated enough savings to get back a share of the funds.
By Anne Zieger • Jan. 30, 2014 -
Cigna starts new ACOs
Cigna has partnered with networks in Illinois and Tennessee.
By Anne Zieger • Jan. 29, 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 -
Massachusetts providers, payers partner on ICD-10 testing
The tests will be done using a secure online testing portal allowing providers and payers to work together on the ICD-10 shift.
By Anne Zieger • Jan. 29, 2014 -
Republicans Propose New Alternative to ACA
The proposed legislation would scrap many of the key provisions of the ACA, including the individual mandate.
By Anne Zieger • Jan. 28, 2014 -
New Hampshire hospitals fight to be included in HIX plan
Anthem Blue Shield of New Hampshire is the only payer offering a plan on New Hampshire's health insurance exchange.
By Anne Zieger • Jan. 27, 2014 -
UnitedHealth, Conn. doctors go into mediation over network cutbacks
A judge had issued a temporary restraining order against UnitedHealth in December, ordering it to hold off on making network cuts.
By Anne Zieger • Jan. 26, 2014 -
Workers electing to go with employer-based health plans
Analysts guess that workers see the employer plans as offering better benefits.
By Anne Zieger • Jan. 25, 2014 -
Gallup: Number of uninsured Americans is falling
These statistics could be the first evidence that ACA is working.
By Anne Zieger • Jan. 24, 2014 -
HealthCare.gov issues pose threat to insurers
A failure to fix HealthCare.gov's back end could expose the federal government and insurers to serious financial harm.
By Anne Zieger • Jan. 23, 2014 -
Major payers preparing to trim provider networks
Recent reimbursement cuts are so deep that some doctors feel being dropped is not so bad.
By Anne Zieger • Jan. 22, 2014 -
Deep Dive
How the ACA leaves the middle class uninsured
The ACA does little to nothing to help the middle class get covered.
By Anne Zieger • Jan. 21, 2014 -
Insurance continuity impacts health, Medicare costs
Uninterrupted prior health insurance led to lower Medicare spending in some service categories, as well.
By Anne Zieger • Jan. 21, 2014 -
UnitedHealth Q4 earnings rise 15%
UHG's enrollment grew by 4.5 million during 2013.
By Anne Zieger • Jan. 16, 2014 -
Public, charity hospitals create insurance plans of their own
The hospitals are offering options for patients with slightly higher incomes, more education and stable employment.
By Anne Zieger • Jan. 16, 2014 -
5 ways to mess up a RAC audit
Since Medicare began its RAC program in 2009, it's collected more than $5.4 billion in alleged overpayments.
By Anne Zieger • Jan. 14, 2014 -
Aetna brings smartphones to Ill. caretakers
The program is designed to help manage the home care of Medicaid-eligible seniors with disabilities.
By Anne Zieger • Jan. 13, 2014 -
Blues plans, U.K. firm to build international provider network
BCBSA's new partner, Bupa, covers 14 million people.
By Anne Zieger • Jan. 13, 2014 -
Private healthcare cost increases slowed down in 2013
Though they have theories, experts don't know what's causing the slowdown.
By Anne Zieger • 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 Anne Zieger • Jan. 10, 2014 -
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 Anne Zieger • 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 Anne Zieger • 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 Anne Zieger • Jan. 8, 2014 -
ACO launched between payer, physician group in NJ
The ACO will cover about 20,000 health plan beneficiaries.
By Anne Zieger • 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 Anne Zieger • 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 Anne Zieger • Jan. 6, 2014
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