Payer: Page
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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 -
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 -
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 -
Insurers file complaint against Partners HealthCare merger
The Massachusetts Association of Health Plans is asking a Superior Court judge to impose tougher limits on Partners before allowing the mergers to go through.
By Anne Zieger • Sept. 18, 2014 -
Report: Sovaldi dropout rate 4 times higher than in trials
A CVS Health Corp analysis finds a "plateau and downward trend" in use of Gilead's $1,000-per-pill Hep C cure.
By Sy Mukherjee • Sept. 17, 2014 -
Siemens, CarePayment create payment options for patients
With out-of-pocket expenses on the rise, the alliance hopes to help reduce bad debt in hospitals.
By Tammy Worth • Sept. 17, 2014 -
Anthem Blue Cross forms groundbreaking HMO
Can the new ACO/HMO hybrid—that involves seven rival hospitals including Cedars-Sinai—compete with giant Kaiser?
By Katie Bo Williams • Sept. 17, 2014 -
CMS releases ACO performance report, results a mixed bag
CMS says that providers in its Medicare accountable care organizations demonstrated higher quality than published benchmarks. But there's some warning signs.
By Anne Zieger • Sept. 17, 2014 -
Will increased competition actually lower premium costs?
Now that more insurers are getting off the bench and into the exchange markets, will the administration's promise of reduced premiums come to bear?
By Anne Zieger • Sept. 17, 2014 -
Blue Cross plans make big profit on sale of health IT firm
Two Blue Cross companies, working with a private equity firm, have sold software service company TriZetto for $2.7 billion.
By Anne Zieger • Sept. 16, 2014 -
Dominant insurer to pull out of MN exchange
PreferredOne says ongoing participation in the state exchange was "not administratively and financially sustainable."
By Katie Bo Williams • Sept. 16, 2014 -
Hospital benefits not included in some ACA-approved employer plans
2015 ACA standards allow businesses to offer bare-bones plans. Does that mean more out-of-pocket payments to hospitals?
By Tammy Worth • Sept. 16, 2014 -
Are EMRs profitable or problematic?
Nobody knows. Why can't research reach a consensus?
By Anne Zieger • Sept. 16, 2014 -
HHS announces $295M in health center funding
The agency announced where it will be allotting the funds, which should allow for a national increase in patient volume of 1.5 million a year.
By Tammy Worth • Sept. 16, 2014 -
Deep Dive
4 countries where hospital administration costs are lower than the US
U.S. hospitals rank highest in administrative costs, but dramatic reductions are possible.
By Tammy Worth • Sept. 15, 2014
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