Payer Issues

5 reasons fed-up physicians are dropping their health insurance

No one knows the pitfalls of going without health insurance better than the physicians who treat uninsured patients, but some of those very doctors are so frustrated with America's healthcare system that they're abandoning their own insurance coverage, according to a Bloomberg report. By Morgan Haefner - 5/15/18

Thrive in a changing payer market with analytics as a core competency

Sponsored

Gain insight into how Health plans need specialized analytic solutions to improve care, reduce costs and enhance member satisfaction.

Louisiana health officials send Medicaid termination warnings to 37k beneficiaries

The Louisiana Health Department sent letters to 37,000 Medicaid recipients May 10 warning they are at risk of losing coverage because of the proposed budget cuts, reports Nola.com By Alia Paavola - 5/10/18
Providers partner with payers for bundled payments

Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences. By Shane Wolverton, Senior Vice President, Corporate Development, Quantros - 5/10/18

74% of ACA marketplace enrollees consider $200 monthly premiums unfair

Nearly three-fourths (74 percent) of individuals who purchase insurance through the ACA's marketplace think $200 premiums would be an unfair price to pay each month, according to a recent eHealth survey. By Morgan Haefner - 5/10/18
Texas physician: BCBS' new out-of-network ER policy will 'kill people'

Texas physicians are raising concerns about a new BlueCross BlueShield of Texas policy that may require members who access nonemergent care at out-of-network emergency departments to pay their bills in full, according to Spectrum News Austin. By Morgan Haefner - 5/10/18
UnitedHealthcare's bundled payment program cuts readmissions 22%

UnitedHealthcare's bundled payment program for knee, hip and spine procedures has generated about $18 million in employer savings across 115 employers. By Morgan Haefner - 5/9/18
Envision CEO: Payers use 'tactics that fuel conflict'

The CEO of Nashville, Tenn.-based Envision Healthcare blamed payers for much of patients' confusion about health insurance coverage and billing processes, the Nashville Business Journal reports. By Morgan Haefner - 5/9/18

Want to jump-start your value-based care efforts? Leverage BPCI Advanced and other bundled payment models

The move to value-based care is not happening tomorrow — it's here today. By Morgan Haefner - 5/9/18
CMS approves New Hampshire Medicaid work requirements

New Hampshire is the latest state to win federal approval for its request to implement Medicaid work requirements, according to The Hill. By Kelly Gooch - 5/9/18
CMS shoots down Kansas' request for 3-year Medicaid cap

CMS rejected Kansas' proposal to cap Medicaid benefits to three years in a lifetime, according to The Hill. By Morgan Haefner - 5/9/18
Maryland ACA marketplace insurers request average 30% premium hike

Health insurers selling policies on the ACA's marketplace proposed to raise premiums by an average 30 percent for 2019, according to The Washington Post. By Morgan Haefner - 5/9/18

Why a joint venture between a payer and provider can create a radically different member health experience

A patient's journey through the American healthcare system is difficult to map. However, there is one experience most patients will certainly face: a disconnected and often oppositional relationship between their health insurer and provider. By Morgan Haefner - 5/8/18
3 standout quotes on payer digital strategy

Below are three quotes on how health plans are investing their IT dollars from Shashi Yadiki, president of health plans for NTT DATA. By Morgan Haefner - 5/8/18
Bon Secours teams up with VCU Health and its health plan for 4 ACA marketplace products

Richmond, Va.-based Bon Secours Health System partnered with VCU Health, also in Richmond, and its subsidiary health plan to offer individual policies on Virginia's ACA health insurance exchange. By Morgan Haefner - 5/8/18
Children's Hospital Colorado, Anthem pilot value-based care program

Denver-based Children's Hospital Colorado partnered with Anthem Blue Cross and Blue Shield to pilot a hospital incentive program based on clinical quality outcomes. By Morgan Haefner - 5/7/18
Aetna divests health IT subsidiary it bought for $500M

Aetna is selling its health information exchange vendor Medicity to Health Catalyst, according to a HIStalk post. By Morgan Haefner - 5/7/18
Cigna CEO: Express Scripts deal leaves very little overlap for antitrust argument

Cigna CEO David Cordani told CNBC's "Squawk on the Street" the payer's proposed $54 billion bid for Express Scripts is combining two complementary companies and won't hurt consumers. By Morgan Haefner - 5/7/18
How Aetna, Anthem, Cigna, Humana and UnitedHealth fared in Q1

The health insurance industry's five largest payers reported solid earnings for the three months ended March 31 in fiscal year 2018. By Morgan Haefner - 5/7/18
University of Mississippi Medical Center may drop 28-year-old BCBS contract

Jackson-based University of Mississippi Medical Center may terminate a contract with Blue Cross and Blue Shield inked in 1990, according to the Clarion Ledger. By Morgan Haefner - 5/7/18
Humana profit down 56% in Q1: 3 notes

Humana saw its net income drop in the first quarter of 2018 compared to the same period a year prior. By Morgan Haefner - 5/3/18

Page 10 of 50

«
Prev
5
6
7
8
9
10
11
12
13
14
Next
»

Top 40 Articles from the Past 6 Months