posts tagged as Payers

By William Bithoney | October 20, 2015

Implications of Health Insurance Mega-Mergers

Earlier this week, shareholders from Aetna and Humana gave the green light to their proposed merger. But that doesn’t mean it will be smooth sailing from here.  read more

Medicare Advantage Testing Novel Way to Manage Chronic Conditions

CMS recently announced a new Medicare Advantage Value-Based Insurance Design (VBID) model that will test ways to improve care and reduce costs for enrollees with a handful of specified chronic conditions.  read more

By Patrick Pilch | September 17, 2015

The Cadillac Tax is Forcing Action Well in Advance of 2018

The Cadillac tax has roused its share of passionate critics, and efforts to repeal the tax have been gaining momentum with bi-partisan support. As the IRS seeks commentary to resolve the murkiness within the regulatory language, a number... read more

Narrowing Networks Doesn’t Mean Limiting Care

Fewer options, lower quality of care delivery and dissatisfaction from consumers and providers alike are becoming all too familiar concepts for health insurers when talking about narrowing networks. But it doesn’t have to be this way. read more

King v. Burwell SCOTUS Case: A Potential Game-Changing Challenge to Obamacare

The U.S Supreme Court ruling on King v. Burwell will decide the legality of federal tax credits that subsidize individuals’ health plan costs in the 34 states that didn’t establish health insurance exchanges.  read more

The Urge to Merge in Healthcare: This Time, Will It Be Different?

There’s a flurry of deal activity in the healthcare space – hospitals merging, physician groups consolidating into multi-specialty groups, insurers and hospitals acquiring physician groups; the list goes on. From 2012 to 2013... read more