House v. Burwell ruling: What it means for insurers, providers
A judge's ruling for the plaintiffs in House v. Burwell represents a setback for the Obama administration and a potential financial hit for health insurers. Yet that's not all at stake with such legal challenges to the ACA, Rita Numerof, Ph.D., president of healthcare strategy consulting firm Numerof & Associates, tells FierceHealthPayer.
Separating the Affordable Care Act exchange hype from reality
Combine a drama-hungry news cycle with what one recent study termed a "toxic political atmosphere" surrounding the healthcare reform law, and you get headlines predicting certain doom every time there's even a hint of trouble on the ACA's public exchanges. Thus, this special report takes a look at some of the main "risk factors" influencing the exchanges in order to parse out what's actually worth worrying about.
Data drives payer, provider efforts to transform care delivery [Special report]
The healthcare industry's transition from fee-for-service to value-based care requires providers and insurers alike to fundamentally rethink their business models. It also requires data--lots of data.
Cigna's disclosure signals trouble ahead for insurer mergers
Like a commuter who runs to catch the closing doors of a train only to wait an interminable time for it to depart, leaders at one of the major health insurers seeking permission from the Justice Department to merge are probably feeling unexpectedly frustrated. Why? A regulatory review process they banked on sailing through seems to have turned out to be more difficult than planned. Read more...
TOP HEADLINES
Ohio's CO-OP goes under, while HealthyCT expects profit in 2017
Coordinated Health Mutual Inc., Ohio's consumer operated and oriented plan, went into receivership to allow the failing company to wind down its operations over the next 60 days, the state's Department of Insurance announced. At the same time, HealthyCT, Connecticut's CO-OP, expects to be profitable in the first quarter of 2017, according to the New Haven Register.
Blue Shield of California reveals executive pay
After several years of questions about executive pay coupled with criticism surrounding the insurer's transparency, Blue Shield of California has issued a detailed report of its top 10 executive salaries in 2015.
Anthem's 'Pharmacy Home Program' aims to curb opioid abuse
Anthem's affiliated health plans have launched a program aimed at reducing addiction to opioids and other prescription drugs and improving drug safety, the company announced.
Too soon to tell if bronze plans will go extinct
Though it is likely that the distribution of Affordable Care Act marketplace plans among the different metal tiers will change over time, it's soon to tell if multiple insurers will move away from offering bronze plans, Kaiser Health News reports.
4 ways state innovation waivers can't deliver on promise of reform
Though state innovation waivers allowed under Section 1332 of the Affordable Care Act look like a promising way for states to dismantle components of the ACA, actually doing so is not as simple as it seems, according to a Health Affairs Blog post.
From Our Sister Sites
Telemedicine is a viable option for treating diabetes among prison populations, according to a study published in Telemedicine and e-Health.
Value-based payment models aren't going away, making population health initiatives ever more critical, Tricia Nguyen, executive vice president for population health at Texas Health Resources, said during a webinar presenting results from the eHealth Initiative's latest population health survey.
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