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Deep Dive
By the numbers: 2015 exchange premium hikes aren't that bad
Early numbers are trickling in and so far, increases could be worse — but stay tuned through the summer as high-population states release rates.
By Katie Bo Williams • June 26, 2014 -
Survey finds newly insured are relatively sicker
A new Gallup poll says newly-insured Americans are sicker than anticipated. What does it mean for the healthcare delivery system?
By Judy Packer-Tursman • June 25, 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 -
Report: Healthcare spending to rise in 2015
The uptick comes after a five-year deceleration. Research firm PwC offers a few specific reasons for the increase.
By Katie Bo Williams • June 24, 2014 -
PA 'private option' Medicaid expansion moves ahead
The governor is optimistic that the alternative to Medicaid expansion will get a waiver from CMS. The state's hospitals and health systems are banking on it.
By Judy Packer-Tursman • June 24, 2014 -
GA hospitals launch primary care residency programs
Like many states across the country, Georgia badly needs primary care doctors. Some hospitals are finding new ways to tackle the shortage head on.
By Judy Packer-Tursman • June 24, 2014 -
Teaching hospitals most likely to face new Medicare penalties
In October, the third pay-for-performance program will come on board, and various kinds of hospitals are likely to be impacted very differently.
By Katie Bo Williams • June 23, 2014 -
To make ACOs work: Act on data, shift fast to global payments
The recommendations from a former CMS administrator come amidst a flurry of ACO formation across the U.S.
By Judy Packer-Tursman • June 23, 2014 -
VA governor to expand Medicaid without General Assembly approval
At the climax of a carefully-watched state debate, Gov. Terry McAuliffe said Friday: "Let me be clear, I am moving forward to get healthcare for Virginian citizens."
By Katie Bo Williams • June 20, 2014 -
Survey: Many hospitals to begin ACOs, risk contracts in next year
The trend towards risk-based initiatives isn't slowing down any time soon. In fact, expect to see even more hospitals taking on this kind of arrangement next year.
By Judy Packer-Tursman • June 20, 2014 -
Health exchange subsidies cut premiums by 76%
...but premiums vary from state to state, as well as the size of the subsidies and proportion of beneficiaries who qualify for financial help.
By Anne Zieger • June 19, 2014 -
Former ONC chief launches well-funded ACO startup
Aledade will help independent physicians form and join accountable care organizations, but are they cutting themselves out of a large part of the market?
By Katie Bo Williams • June 18, 2014 -
HHS to limit orphan drug exclusions despite court ruling
The agency stands by its interpretation of the statute requiring drugmakers to offer discounts to hospitals on orphan drugs when used for common conditions.
By Katie Bo Williams • June 18, 2014 -
Report: US healthcare ranks last in pretty much everything
The lead researcher called the findings "disappointing but not surprising."
By Katie Bo Williams • June 17, 2014 -
UnitedHealth continues to drop Medicare Advantage providers
The insurer says that network restructuring is "the new normal." Meanwhile, tentative legislation in Washington would prohibit plans from cutting physicians mid-year.
By Katie Bo Williams • June 17, 2014 -
Rural hospitals get Medicare pay adjustments — for a little while
This is good news for the nation's small, rural hospitals facing their own brand of financial pressures. But is it just another "patchwork" fix?
By Judy Packer-Tursman • June 17, 2014 -
It's time for hospitals to add retail clinics
Clinics would provide patients with the level of assistance they actually need and get hospitals away from the expensive and often wasteful emergency room model for routine care.
By Anne Zieger • June 17, 2014 -
Boeing is first customer for employer-driven ACO
Two health systems in Washington state are working directly with employers to customize coverage products, and the airline giant is only the beginning. But does this kind of relationship limit consumers' choices?
By Judy Packer-Tursman • June 16, 2014 -
Deep Dive5 TED Talks every healthcare exec needs to watch
TED Talks consistently produce some of the most innovative thinking in healthcare. Take a look at the five most important speakers over the last few years who echo the ideas leading executives are talking about.
By Katie Bo Williams • June 16, 2014 -
Deep Dive
Medicaid ACOs on the rise, despite challenges
With 19 states now using some form of a Medicaid ACO, the model comes with both promises and challenges.
By Judy Packer-Tursman • June 16, 2014 -
OIG demands $9.8M Medicare refund extrapolated from few claims
The audit revealed that about half of an Ohio hospital's 228 claims under review were compliant. But the rest of the claims spelled big trouble — after auditors extrapolated the hospital's penalty into the millions.
By Judy Packer-Tursman • June 16, 2014 -
Enrollment in private exchanges rising
Providers can expect to see a much higher percentage of out-of-pocket collections from patients with employer-based coverage as a result.
By Katie Bo Williams • June 12, 2014 -
Medicare poorly tracks hospital infections
Hospital infections continue to pose both health risks and heavy financial costs. And tracking them, according to a new study, is "an imprecise science." Just how big is the impact of hospital complications?
By Judy Packer-Tursman • June 12, 2014 -
New payment models to surpass fee-for-service by 2020
The new study by McKesson suggests two-thirds of payments will be value-based in less than 10 years — which worries providers much more than payers.
By Judy Packer-Tursman • June 12, 2014 -
'Dr. Google' is here to stay: The future of patient-physician relationships
Physicians might resent patients who self-diagnose, but nothing is going to change the trend toward the digital sharing of information between clinicians and consumers.
By Anne Zieger • June 11, 2014 -
MD exchange reports proposals for double-digit 2015 premium hikes
...while other proposals call for premium decreases. Is Maryland's dominant insurer seeing sicker-than-average new members this year? Are other plans seeking lower rates just to compete or are their members healthier?
By Judy Packer-Tursman • June 10, 2014
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