Payer: Page
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New VA secretary faces big challenges
The appointment of the president's choice comes on the heels of a $17M-agency-overhaul bill expected to hit Obama's desk this week.
By Katie Bo Williams • July 30, 2014 -
Universal American backs off ACO model
The largest operator of Medicare accountable care organizations has exited three ACOs to date—with possibly more to come.
By Katie Bo Williams • July 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 -
New enrollment approaches 7 million in Medicaid/CHIP
RWJF cites the latest enrollment numbers as a sign of continuing progress, but significant challenges remain.
By Judy Packer-Tursman • July 29, 2014 -
Medicare trustees: Hospital insurance fund solvent through 2030
Medicare's trustees have revised their projections for the Part A hospital insurance trust fund, now saying it will remain solvent for four years longer than previously expected.
By Sy Mukherjee • July 28, 2014 -
Michigan Blues medical homes create dramatic savings
Adult patients in Blues-designated PCMHs had a 27.5% lower rate of hospital stays for certain conditions over the last year—and that's not all.
By Judy Packer-Tursman • July 28, 2014 -
Congress reaches tentative deal on VA fix
The deal comes just days before lawmakers' five-week August break. A press conference today will discuss negotiations on the compromise bill.
By Judy Packer-Tursman • July 28, 2014 -
Massachusetts consumers get $15M ACA refund
The numbers suggest that the health insurance industry is adapting to the Medical Loss Ratio rule, and consumers are benefiting.
By Anne Zieger • July 28, 2014 -
Deep Dive
The Monday Primer: Highmark-UPMC updates and the Boehner-Obamacare suit
Healthcare Dive's editor gives you a head start on the news. What's coming up in the week ahead?
By Katie Bo Williams • July 28, 2014 -
Wisc. hospitals controlling costs better than national average
What are these hospitals doing right?
By Judy Packer-Tursman • July 25, 2014 -
Oregon's big Medicaid expansion strains system
Oregon was touted as a potential national model for Medicaid expansion, but is instead highlighting the national physician shortage.
By Judy Packer-Tursman • July 25, 2014 -
Are ACOs really good for healthcare providers?
Some of the flurry of deals seem suspiciously slapped together.
By Anne Zieger • July 25, 2014 -
ACO enrollment expected to top 130M by 2017
But how is "accountable care organization" being defined?
By Judy Packer-Tursman • July 25, 2014 -
Deep Dive
The Friday Dive: More threats to Obamacare, big settlements and major mergers
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • July 25, 2014 -
10.3M acquired coverage under ACA
A recent study also included revealing data about Medicaid expansion.
By Katie Bo Williams • July 24, 2014 -
Deep Dive
Worth the wait: Medicaid expansion lowers uncompensated care in MI
Enrollment surpassed the Healthy Michigan Plan's first-year target of 322,000 in only a few months.
By Judy Packer-Tursman • July 24, 2014 -
CMS may waive three-day requirement for nursing home coverage
Medicare is allowing dozens of hospitals to test payment options that could end observation care penalties.
By Judy Packer-Tursman • July 24, 2014 -
Typical Medicare enrollees spent $4,700 out-of-pocket in 2010
Our handy infographic shows which Medicare beneficiaries pay relatively more out-of-pocket.
By Judy Packer-Tursman • July 23, 2014 -
Fake applicants obtain ACA coverage in undercover investigation
GAO investigators used missing or inaccurate Social Security numbers and invalid citizenship information—and still were able to acquire and keep coverage.
By Katie Bo Williams • July 23, 2014 -
Blue Cross ACO gets results in first year
Almost 90% of hospitals participating in Independence Blue Cross' ACO contracts cut readmission rates.
By Anne Zieger • July 23, 2014 -
Dallas urgent care centers sell primary care directly to small employers
Employers can buy primary care directly from PrimaCare Medical Centers, then add coverage for specialists and hospitalization.
By Judy Packer-Tursman • July 23, 2014 -
Appeals court rules against IRS in Halbig v. Burwell
The 4th Circuit Court of Appeals also handed down a ruling on an almost identical case, King v. Burwell, ruling in favor of the federal government.
By Katie Bo Williams • July 22, 2014 -
Deep Dive
The 'Save Our Hospital' saga: Part II
The adventure continues for Mayor Adam O'Neal. We look into the town-sponsored plan for the hospital to become profitable, and why Vidant chose to close a CAH that wasn't their worst-performing hospital.
By Judy Packer-Tursman • July 22, 2014 -
Catholic Health Initiatives expands into insurance market
By offering both the health plan and the care element, will CHI be better positioned than some of its competitors to snag employer contracts?
By Anne Zieger • July 22, 2014 -
Doctors protest grueling certification standards
Will rigorous new board-certification standards keep physicians up-to-date or force them out of practice?
By Judy Packer-Tursman • July 22, 2014 -
CMS may mandate wider exchange networks
Regulators are stepping into the fray as consumers continue to rail against increasing use of narrow provider networks. What happens next?
By Judy Packer-Tursman • July 22, 2014
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