Payer: Page
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Healthcare groups oppose new CMS rating system
Some providers hope to shoot down agency plans to rate them on a five-star scale.
By Anne Zieger • Sept. 2, 2014 -
Will Premier's decision to sell insurance pay off?
Over a quarter of hospitals expect to launch their own plans over the next five years. Is this a risk or a smart move?
By Katie Bo Williams , Tammy Worth • Aug. 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 -
Deep Dive
The Friday Dive: Pennsylvania becomes 27th state to expand Medicaid
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Aug. 29, 2014 -
Washington slashes exchange rates, doubles plans
The state insurance commissioner called the record-low rate changes a "clear sign that health reform is working."
By Katie Bo Williams • Aug. 29, 2014 -
Aetna, Banner Health ACO saves $5M
Was the ACO successful because of its regional model, and did it improve outcomes as well as curb costs?
By Katie Bo Williams • Aug. 28, 2014 -
Deep Dive
How some NJ hospitals are making insurers pay through the nose
A drafting loophole in a state insurance regulation has given some hospitals the chance to turn providing out-of-network care into a money-making enterprise.
By Katie Bo Williams • Aug. 28, 2014 -
CVS announces affiliation with MedStar Health
What are the benefits to MedStar? And just how big is the CVS affiliate footprint?
By Katie Bo Williams • Aug. 27, 2014 -
Marketing expert named new Healthcare.gov CEO
Kevin Counihan has some serious marketing chops, but can he translate a track record of state-level success to the federal level?
By Tammy Worth • Aug. 27, 2014 -
Another Pioneer ACO bites the dust
Is the program's "one-size-fits-all" approach to payment to blame?
By Katie Bo Williams • Aug. 26, 2014 -
Deep Dive
What consumers do and don't know about the ACA, in charts
...and how does that impact support for the law?
By Katie Bo Williams • Aug. 26, 2014 -
Providers have serious concerns about CMS renal ACO program
Is the agency providing sufficient guidance to providers—and are providers applying for the program?
By Katie Bo Williams • Aug. 26, 2014 -
CHS breach could cost up to $100 million
But the greatest cost of the hack is likely to be to the healthcare system at large.
By Katie Bo Williams • Aug. 25, 2014 -
Anthem Blue Cross faces another lawsuit
The pushback against narrow networks continues, and may result in legislative changes.
By Katie Bo Williams , Judy Packer-Tursman • Aug. 21, 2014 -
How Google searches can help determine population health
The quality of life where people live is closely correlated to healthcare-related Google searches. What can providers learn?
By Anne Zieger , Katie Bo Williams • Aug. 21, 2014 -
Carondelet to pay $35M fraud settlement
The Arizona-based provider has admitted to no wrongdoing.
By Katie Bo Williams • Aug. 19, 2014 -
MO insurers do not have to disclose exchange prices
Transparency may be slow to come in a state where there are no campaign finance limits and insurers are high campaign contributors.
By Tammy Worth • Aug. 19, 2014 -
Large employers shifting health costs to workforce
Are employers leaving the insurance business, and how should providers prepare?
By Tammy Worth • Aug. 18, 2014 -
CMS creates payment for chronic care management
Care must be available 24/7 in order to be eligible for reimbursement.
By Tammy Worth • Aug. 18, 2014 -
Community Health Systems announces massive data hack
The theft included the personal data of 4.5 million patients.
By Katie Bo Williams • Aug. 18, 2014 -
Deep Dive
How hospitals can benefit from value-based insurance
"We need to make sure health plans make it easy for patients to do the exact same things we want them to do," said Mark Fendrick, M.D., director of the University of Michigan Center for Value-Based Insurance Design.
By Tammy Worth • Aug. 18, 2014 -
Hospitals, insurers lock horns over paying premiums for low-income consumers
Will third-party payment of premiums attract an excessive number of sicker patients?
By Anne Zieger • Aug. 15, 2014 -
Deep Dive
The Friday Dive: Wal-Mart, VA referrals and False Claims lawsuits
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Aug. 15, 2014 -
'Skinny' plans maintain foothold despite ACA
Are minimum-coverage plans a sign that employers are moving away from the insurance game? And what does this mean for providers?
By Tammy Worth • Aug. 14, 2014 -
The slow, painful death of fee-for-service primary care
As payers move toward an accountable care model, more traditional practices are feeling the squeeze.
By Anne Zieger • Aug. 14, 2014 -
What's in a name: WellPoint changes name to Anthem
The change represents a "major pivot" to a more consumer-oriented approach, according to CEO Joe Swedish.
By Katie Bo Williams • Aug. 13, 2014
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