Payer: Page
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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 -
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 -
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 -
Bill would repeal Medicare's SGR formula, create new incentive program
The new bill would sunset penalties imposed by Medicare's existing quality-based programs.
By Anne Zieger • Oct. 31, 2013 -
Aetna Q3 net income up 4 percent
Aetna third quarter revenues are up sharply as compared with Q3 2012.
By Anne Zieger • Oct. 30, 2013 -
Hospitals, beware the haters
While insurers are the ones who set the rules, hospitals may take the blame for the high co-payments and deductibles patients face.
By Anne Zieger • Oct. 29, 2013 -
WellPoint holds back on making health reform growth predictions
The payer reports increases in both revenue and profits.
By Anne Zieger • Oct. 28, 2013 -
Lawmaker to introduce bill to delay individual mandate
Sen. Marco Rubio (R-Fla.) plans to introduce legislation that would delay the individual mandate until after the health insurance exchanges are operating smoothly, reported Politico.
By Anne Zieger • Oct. 28, 2013 -
Vermont plans to launch single-payer system
The system will take the form of a modified Medicare-for-all approach.
By Anne Zieger • Oct. 26, 2013 -
Out-of-network physician charges slam patients
Problem may get worse under health reform
By Anne Zieger • Oct. 25, 2013 -
ACA isn't holding down prices in rural areas
Bringing in additional carriers may be key to cost savings
By Anne Zieger • Oct. 24, 2013
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