Payer: Page
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Anthem Blue Cross of CA sued over narrow networks
The lawsuit—which claims "fraudulent" enrollment practices—has broad implications for narrow network plans.
By Judy Packer-Tursman • July 10, 2014 -
HHS pours $100M into expanding community clinics
What does more federal money mean for rural healthcare delivery and to outreach efforts to the uninsured?
By Judy Packer-Tursman • July 10, 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 -
Blue Cross spends $65B on value-based claims
The march towards value-based care continues, but what does "value-based care" mean?
By Katie Bo Williams • July 9, 2014 -
Deep Dive
How Texas hospitals are handling flow of border kids
The border patrol won't return the Texas Hospital Association's calls and hospitals fear to speak to a media they see as being fed information to promote political messaging.
By Judy Packer-Tursman • July 9, 2014 -
Michigan merger forms HIE for 5 million people
Health insurance exchanges have long struggled for financial sustainability. Is bigger better?
By Judy Packer-Tursman • July 9, 2014 -
How is reform impacting hospital use?
The Robert Wood Johnson Foundation wants to figure out how coverage expansion is impacting hospitals financially. 2013 baseline data show some intriguing results.
By Judy Packer-Tursman • July 9, 2014 -
Paying it forward with kidney transplants
Can others learn from a transplant program in Alabama about how to make inroads in a system where thousands of Americans are waiting for help?
By Judy Packer-Tursman • July 8, 2014 -
Florida hospitals must repay millions in Medicaid
Should hospitals in other anti-expansion states take heed?
By Judy Packer-Tursman • July 8, 2014 -
Possible 2.1% boost for hospital outpatient pay on the horizon
CMS wants to boost Medicare payment rates for outpatient services in 2015. But the agency released its massive proposal right before the July 4th weekend, slowing provider reactions.
By Judy Packer-Tursman • July 7, 2014 -
Deep Dive
5 must-see healthcare documentaries
These five critically-acclaimed documentaries ask challenging questions amidst the ongoing discussion about how the healthcare system should deliver and pay for care.
By Katie Bo Williams • July 7, 2014 -
Health plans leverage reference pricing to save money
Though it's been less successful for complex procedures, reference pricing has succeeded in lowering costs and improving value in drug prescription plans.
By Anne Zieger • July 7, 2014 -
VA's chief medical inspector is out
Heads keep rolling at the VA, as another higher-up resigns after a scathing report that his office downplayed whistleblower complaints. What comes next?
By Judy Packer-Tursman • July 7, 2014 -
California's huge Medi-Cal backlog stalls expansion
Nearly 1 million Californians are waiting for the state to process Medi-Cal cards for them. Where are they heading for care in the meantime?
By Judy Packer-Tursman • July 3, 2014 -
Deep Dive
How the ultra-narrow NH network impacted excluded hospitals
Twelve of New Hampshire's 26 acute-care hospitals aren't in the lone exchange carrier's network this year. Here's why this year's network exclusion riled them, and how 2015 is shaping up.
By Judy Packer-Tursman • July 3, 2014 -
Indiana hospitals urge swift CMS approval on coverage expansion
Indiana's hospitals are gung ho about getting the governor's Medicaid alternative plan up and running, but others have concerns about Healthy Indiana Plan 2.0.
By Judy Packer-Tursman • July 3, 2014 -
The BeneStream plan: New startup exploits ACA 'loophole'
The company enrolls eligible employees in Medicaid to help businesses comply with the employer mandate while keeping costs down.
By Katie Bo Williams • July 2, 2014 -
Why is healthcare spending going down?
The 1.4% drop in the first quarter was large enough to shrink the nation's overall GDP.
By Anne Zieger • July 2, 2014 -
NIH taps six clinical sites for 'undiagnosed diseases' network
The initiative is well-funded and expertly-staffed, but will make a difference to ailing patients?
By Judy Packer-Tursman • July 2, 2014 -
Medicare expands bundled payments
Does bundling payments for care episodes work better than traditional Medicare financing? CMS wants to know.
By Judy Packer-Tursman • July 1, 2014 -
Geisinger finds better way to manage diabetes care
Most of the risk reduction occurred in the first year of the new system, suggesting that this kind of effort to improve quality of care can work quickly.
By Judy Packer-Tursman • July 1, 2014 -
Supreme Court announces Hobby Lobby ruling
The court ruled in favor of the Oklahoma-based company, who claimed the contraception coverage requirement in the ACA violated their religious rights.
By Katie Bo Williams • June 30, 2014 -
Obama to nominate ex-P&G head for VA secretary
The administration believes it will take business savvy to address mismanagement in the Department of Veterans Affairs.
By Judy Packer-Tursman • June 30, 2014 -
What's in your wallet? A Carolinas health system wants to know
The system is examining patients' credit card purchases and store loyalty card transactions. If it's all in the name of predicting risks and trying to help patients stay healthy, is it OK?
By Judy Packer-Tursman • June 27, 2014 -
Tenet, TriWest partner on veterans' care
One VA doctor argues that while more private options represent a modest step forward, wholesale change to the VA healthcare system is still needed.
By Judy Packer-Tursman • June 27, 2014 -
HHS announces auto-enrollment
The change will bring the exchanges in line with standard practices in the current insurance marketplace.
By Katie Bo Williams • June 26, 2014
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