Category
Insurance
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How a secretive panel uses data that distorts doctors’ pay
One factor that makes health care costs difficult to manage is the system the federal government and health insurers use…
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About 115,000 could lose insurance coverage based on residency issues
We wrote earlier this month about the Sept. 5 deadline for people who had signed up for ACA coverage through…
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What’s the downside to value-based purchasing and pay for performance?
Pay for performance (P4P) is often touted as one of the best ways to improve health care quality. In most…
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Clearing up confusion about those enrolled in both Medicare, Medicaid
Dual eligibles are low-income elderly or disabled people enrolled in both Medicare and Medicaid. The distinctions are sometimes bewildering. It’s easy…
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How to understand 2015 exchange plan insurance rate changes
It’s rate increase season, and as we head into the second ACA enrollment season, it’s hard to understand why some…
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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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Six (or more) things to remember when reporting on health care costs
Health care costs lack transparency and are wildly variable, not just from region to region but sometimes from block to…
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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…