Payer: Page 243
-
AHA: Most hospitals see Medicare RAC reviews
90% of hospitals saw Recovery Audit Contractor activity during this year's third quarter.
By Anne Zieger • Nov. 22, 2013 -
Employers checking out consumer-directed plans, wellness programs
Employers are choosing these plans because they're more affordable than PPO and HMO offerings.
By Anne Zieger • Nov. 21, 2013 -
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 -
Doctors' info compromised in Anthem data breach
Physicians' personal information was posted live online for more than 24 hours last month.
By Anne Zieger • Nov. 21, 2013 -
Consumers fear lower-cost care is worse care
Lower-cost providers will need to show quality ratings alongside prices to demonstrate that they offer good, safe care.
By Anne Zieger • Nov. 20, 2013 -
States work to shield consumers from ACA premium increases
State strategies include regulating types of policies offered and finding ways to transition existing high-risk pools to avoid reform-driven rate increases.
By Anne Zieger • Nov. 20, 2013 -
Insurers, providers take bundled payments seriously
Experts argue that bundled payments will be a central part of any solution to the problems of the U.S. healthcare system.
By Anne Zieger • Nov. 20, 2013 -
Reference pricing can lower healthcare costs
Health plans and employers hope to set reasonable prices on key services to lower costs.
By Anne Zieger • Nov. 19, 2013 -
Cigna, Kaiser lead in engaging members with technology
The two insurers are making a big effort to connect directly with their members.
By Anne Zieger • Nov. 19, 2013 -
CMS developing HIX plan rating system
The new rankings will include ratings for plans' relative quality, as well as their price and health outcomes.
By Anne Zieger • Nov. 18, 2013 -
Deep Dive
The direct primary care sector is growing, and you need to know about it
For monthly fees that typically range below $100, patients get unlimited access to primary care doctors.
By Anne Zieger • Nov. 18, 2013 -
Tenn. Blue plan to extend coverage
Policies that don't conform with ACA rules will remain in force only for those who currently hold them.
By Anne Zieger • Nov. 16, 2013 -
MI bill would force disclosure of ACA's effect on premiums
The bill would require that health plans report the ACA's financial effect through 2018.
By Anne Zieger • Nov. 16, 2013 -
Medicaid beneficiaries remain ED users
High ED use rates by the Medicaid-insured may reflect higher rates of disability and chronic conditions.
By Anne Zieger • Nov. 15, 2013 -
Nearly 1,500 hospitals get lower reimbursement under Medicare's Value-Based Purchasing Program
Some hospitals were able to go from losing last year to getting ahead this year.
By Anne Zieger • Nov. 15, 2013 -
HHS OIG scrutinizes outlier payments to hospitals
The HHS Office of the Inspector General wants to know why outlier payment levels vary so widely across the U.S.
By Anne Zieger • Nov. 15, 2013 -
Physicians sue UnitedHealthcare over terminations
The plaintiffs say that the terminations violated Medicare regulations, as well as United Healthcare's own agreements.
By Anne Zieger • Nov. 13, 2013 -
Nearly one-third of Americans would buy from health plans run by hospitals, health systems
A survey found that almost 20% of respondents think hospital-sponsored plans would offer higher care quality.
By Anne Zieger • Nov. 12, 2013 -
Insurers want to enroll exchange buyers directly
White House officials are resistant to the idea of sharing enrollee data with health plans.
By Anne Zieger • Nov. 12, 2013 -
Should your practice accept health exchange plans?
According to an MGMA study, 40% of doctors haven't decided whether they'll accept plans offered on the exchange. .
By Anne Zieger • Nov. 7, 2013 -
Humana predicts health exchange profits, eventually
It will take a few years for the exchanges to make a major impact on their business, Humana execs said.
By Anne Zieger • Nov. 7, 2013 -
ACA boosting competition in individual market
A study finds that 28% of insurers offering plans in the exchanges are selling individual plans for the first time.
By Anne Zieger • Nov. 6, 2013 -
California policy cancellations cause chaos
Nearly one million holders of individual health insurance policies have gotten cancellation notices to date.
By Anne Zieger • Nov. 6, 2013 -
ACA could squeeze out best doctors, hospitals from networks
Premium caps encourage insurers to avoid the best doctors and hospitals, an investigation by Watchdog.org suggests.
By Anne Zieger • Nov. 4, 2013 -
Ohio program pays PCPs for care management
The new program' will begin by using primary care doctors to coordinate care.
By Anne Zieger • Nov. 4, 2013 -
Cigna Q3 profit up almost 20 percent
While net income for first nine months showed a 8 percent decrease, net income picked up over Q3,
By Anne Zieger • Oct. 31, 2013
Previous
