Payer: Page 235
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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 -
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 -
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 -
Physicians sue UnitedHealthcare over terminations
The plaintiffs say that the terminations violated Medicare regulations, as well as United Healthcare's own agreements.
By Anne Zieger • Nov. 13, 2013 -
Nearly one-third of Americans would buy from health plans run by hospitals, health systems
A survey found that almost 20% of respondents think hospital-sponsored plans would offer higher care quality.
By Anne Zieger • Nov. 12, 2013 -
Insurers want to enroll exchange buyers directly
White House officials are resistant to the idea of sharing enrollee data with health plans.
By Anne Zieger • Nov. 12, 2013 -
Should your practice accept health exchange plans?
According to an MGMA study, 40% of doctors haven't decided whether they'll accept plans offered on the exchange. .
By Anne Zieger • Nov. 7, 2013 -
Humana predicts health exchange profits, eventually
It will take a few years for the exchanges to make a major impact on their business, Humana execs said.
By Anne Zieger • Nov. 7, 2013 -
ACA boosting competition in individual market
A study finds that 28% of insurers offering plans in the exchanges are selling individual plans for the first time.
By Anne Zieger • Nov. 6, 2013 -
California policy cancellations cause chaos
Nearly one million holders of individual health insurance policies have gotten cancellation notices to date.
By Anne Zieger • Nov. 6, 2013
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