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77 Matching News Items

1.  FierceHealthPayer Link to more items from this source
June 5, 2016
"The concept of paying for value in the cancer care space has gained steam of late with health insurers, as major companies including Anthem, UnitedHealth, Aetna and Highmark have all debuted value-based oncology payment models aimed at reducing costs and improving quality. And when it comes to paying for all types of drugs, insurers are increasingly pushing manufacturers toward outcomes-based pricing deals."
2.  FierceHealthPayer Link to more items from this source
June 2, 2016
"In an effort to make up for more than $1 billion in losses over the past two years, Blue Cross Blue Shield of Texas is seeking a premium increase of nearly 60 percent on [ACA] plans ... BCBS of Texas lost $592 million in 2015 on top of $416 million in 2014[.]"
3.  FierceHealthPayer Link to more items from this source
May 18, 2016
"Health insurance startup Oscar is asking for premium increases as high as 30 percent in New York ... another sign the [ACA] exchanges are headed for a market correction ... Last year, New York regulators approved Oscar's request for an average rate hike of just 4.54 percent."
4.  FierceHealthPayer Link to more items from this source
May 16, 2016
"Cigna executives are probably looking with increasing nervousness at the feds' recent spate of antitrust victories ... [F]ederal regulators' treatment of hospital and physician group deals speaks to their increasing concern about the healthcare industry's consolidation arms race.... It all adds up to a regulatory landscape that perhaps isn't quite what Cigna bargained for."
5.  FierceHealthPayer Link to more items from this source
May 15, 2016
"Out-of-pocket limits rose by 7 percent, general annual deductibles climbed 10 percent and copayments for nonpreferred drugs rose 14 percent [from 2015 to 2016 among the 40 million Americans who aren't eligible for cost-sharing reductions]. In contrast, copayments for generic drugs decreased by 3 percent. Deductibles ... increased by 10 percent for bronze plans and by 5 percent for silver and gold plans, while platinum plans had a 16 percent decrease in deductibles[.]"
6.  FierceHealthPayer Link to more items from this source
Apr. 18, 2016
"Rep. Tim Murphy (R-Pa.) took issue with the [CMS] decision to prioritize reinsurance payments to insurance companies rather than the U.S. Treasury.... CMS Acting Administrator Andy Slavitt defended the decision ... arguing that the agency used its standard rulemaking procedure -- including requests for comments -- to implement modifications to the program that were intended to 'maximize the financial effect of the transitional reinsurance program.' "
7.  FierceHealthPayer Link to more items from this source
Apr. 17, 2016
"Overall, total spending on prescription drugs in the U.S. reached $424.8 billion in 2015, an increase of 12.2 percent from 2014 ... Spending adjusted for net prices reached $309.5 billion, an increase of 8.5 percent over 2014. Yet ... the average net price for brands already in the market is estimated to have increased by just 2.8 percent in 2015, down from a 5.1 percent rise in 2014 and 'significantly lower' than seen in prior years."
8.  FierceHealthPayer Link to more items from this source
Apr. 17, 2016
"Data security and wellness programs were a primary focus for lawmakers, insurers and business representatives during a Senate subcommittee hearing [April 14] on employer-sponsored health plans that are reaping the benefits of switching to a private exchange."
9.  FierceHealthPayer Link to more items from this source
Apr. 12, 2016
"Routine policy exclusions for obesity care could cost insurance companies more than they bargained for ... [T]he move to a value-based system will help promote coverage for obesity care because it will make sense to pay for services with proven outcomes. The challenge ... comes from having to convince major employers with self-funded plans that obesity care is worth it."
10.  FierceHealthPayer Link to more items from this source
Mar. 31, 2016
"Both health insurers and employers have a stake in driving down healthcare costs for their member populations -- especially among patients with expensive-to-treat chronic conditions. Increasingly, businesses are turning to payers to design wellness programs to aid in the effort. But it's not as simple as handing out activity trackers or launching a member wellness portal. Every company is different, and there are many ways to measure success."
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