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Will increased revenue at for-profit hospitals lead more states to expand Medicaid?
Will large hospital systems start to pressure officials in the states that have not expanded Medicaid now that their revenues…
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Webcast: Under value-based insurance design, would insurers pay members for high-value services?
Here’s the bare-minimum definition of value-based insurance design: Those who are the most ill should pay the least for treatment.…
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Medicare, insurers questioning payment differences based on where care is delivered
Health insurers and the federal Centers for Medicare & Medicaid Services (CMS) pay much different rates for clinical services, depending…
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Webcast: How value-based insurance design breaks down financial barriers to care
Covering health care requires writing about the cost of care. Determining if costs are rising or falling and by how…
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ACA rules force health insurers to increase spending on care delivery
A new report on how health insurers are complying with the medical loss ratio rules shows insurers spent more on…
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GAO report on medical loss ratio finds insurers spend little on quality improvement
The U.S. Government Accountability Office generated some minor headlines last week when it reported on how much health insurers paid…
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Covering premium rate increases for 2015? Check out these resources first
As the nation’s health insurers file rate requests with state insurance departments, the news about health insurance premium increases is…
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Mo. journalist shows how undocumented immigrants struggle for care under ACA
When the Affordable Care Act passed in 2010, Tammy Worth, an award-winning freelance health and business writer in Kansas City,…
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Growing beyond the pilot stage, bundled payment gains wider acceptance
Health insurers are expanding the use of bundled payment as a core part of their efforts to reform how they…
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What to watch for when insurers announce premium rate requests this month
Insurers are preparing to announce their premium rates for 2015. To learn how insurers set rates, Families USA and Consumers…