Payer: Page


  • La. Medicaid plans save $30 per member per month

    Louisiana thinks it's found the best way to save money on Medicaid, and it isn't a shared-savings model or fee-for-service.

    By Judy Packer-Tursman • July 21, 2014
  • Medical marijuana: The risk/reward debate for hospitals

    One hospital in Chicago is aggressively petitioning the federal government to catch up with Illinois' choice to legalize the drug. 

    By July 21, 2014
  • Explore the Trendline
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    Trendline

    Payer/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 'Save Our Hospital' saga: Why one mayor is walking 300 miles to save his town CAH

    Part I of II. The story illustrates the struggles of rural healthcare delivery across the U.S. and the real-life impact of M&A. 

    By Judy Packer-Tursman • July 21, 2014
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    UnitedHealth launches massive exchange expansion

    Despite sounding a cautionary note, all indications are that the nation's largest health insurer will expand into a lot of exchanges in 2015.

    By Judy Packer-Tursman • July 18, 2014
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    1,000 deaths a day: Senate hearing blasts hospitals for unsafe care

    The panel's chairman said only heart disease and cancer kill more Americans than preventable medical errors. 

    By Judy Packer-Tursman • July 18, 2014
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    Want to lower healthcare costs? Make comparison shopping easier

    Costs vary widely for the same services, even in the same cities—but consumers often don't know that.

    By July 18, 2014
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    Deep Dive

    The Friday Dive: Halifax, ICD-10 and the rural health crisis

    Healthcare Dive's editor looks back on the biggest news from the last week. 

    By July 18, 2014
  • Loma Linda unveils $1.2B expansion plan

    The huge California health system expects to complete four major projects by 2020. 

    By Judy Packer-Tursman • July 17, 2014
  • Deep Dive

    Top 10 highest grossing for-profit hospitals

    Who topped the list in 2014? 

    By July 17, 2014
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    Tenet broadens exchange coverage with Humana

    Tenet has been busy lately. How does this new agreement play into Tenet's broader aims?

    By Judy Packer-Tursman • July 17, 2014
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    CA plan, health system partner on senior products

    Two healthcare giants in southern California are strengthening their effort to develop products for seniors. What are the lessons for senior services nationally? 

    By Judy Packer-Tursman • July 16, 2014
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    Va. hospitals spent $400,000 lobbying to expand Medicaid

    How effective are these big lobbying spends in pushing expansion through state legislatures? 

    By Judy Packer-Tursman • July 16, 2014
  • Deep Dive

    Top 10 most expensive cities in America for primary care

    What are the 150 million Americans who receive health insurance through their employer likely to pay for a preventative primary care visit in-network?

    By July 16, 2014
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    2015 out-of-pocket cost changes inconsistent across exchange plans

    Although deductibles went down overall, the variation between the metals was extreme. 

    By July 15, 2014
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    Most insurers met medical-loss ratio standards

    GAO says excluding brokers' commissions from plans' administrative expenses would have slashed insurers' rebates to consumers. Brokers say they bring value.

    By Judy Packer-Tursman • July 15, 2014
  • Possible $1M agreement reached in Halifax False Claims case

    The first half of the Halifax suit was settled in March to the tune of $85 million. If accepted by the hospital board, this could be case-closed in the five-year saga. 

    By July 14, 2014
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    Katie Bo Williams
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    Critical access hospitals face tough EHR barriers

    What options do rural hospitals have to meet federal standards? 

    By Judy Packer-Tursman • July 14, 2014
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    CMS demands fixes in state Medicaid backlogs

    Six states must explain how they're going to correct problems to allow timely processing of applications. How are states responding?

    By Judy Packer-Tursman • July 14, 2014
  • Obama's 'Between Two Ferns' healthcare video gets Emmy nom

    The president's appearance to encourage Americans to sign up for healthcare.gov was viewed 22 million times. 

    By July 11, 2014
  • CMS hands out new round of innovation money

    CMS wants to drive down costs and improve care for federal beneficiaries through innovation. What types of newly-funded projects are hospitals involved in? 

    By Judy Packer-Tursman • July 11, 2014
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    CareFirst saves big on medical homes

    CareFirst's patient-centered medical homes are saving big bucks, improving outcomes and reducing admissions and lengths of stay. What are the implications for hospitals?

    By Judy Packer-Tursman • July 11, 2014
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    Survey finds 17M Americans in HSAs

    Insurers and bankers tout health savings accounts as an important coverage option. But do hospitals have reason to worry? 

    By Judy Packer-Tursman • July 10, 2014
  • Most ACA buyers were previously uninsured

    A new study concludes that the biggest coverage gains were among young adults aged 19 to 34, Latinos and low-income adults.

    By July 10, 2014
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    Hospitals using EHRs aren't found to overbill Medicare

    But how conclusive is this latest study? Some critics say researchers were looking in the wrong place.

    By Judy Packer-Tursman • July 10, 2014
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    Oscar: The new insurance model for Obamacare?

    The startup sells itself as a friendlier, more accessible brand of health plan, but is it really that different from established insurers?

    By July 10, 2014