Hospitals’ challenge to new transparency rule draws skepticism from appeals court
A federal appeals panel appeared hostile to many hospital arguments in a case challenging a looming price transparency requirement.
Employers again are planning to expand their use of narrow networks, survey finds
Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.
Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions
HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.
Q&A: Humana expands value-based payment push
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.
Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
Deductibles rising, underinsurance rates worsening in individual coverage, survey finds
Deductibles and underinsurance are increasing among those with individual-market coverage.
ED, inpatient volumes have stagnated since June, analysis finds
Hospitals’ ED and inpatient volumes have not improved since the June surge in patients following the resumption of most hospital services after COVID-19 service suspensions were lifted.
As states tweak Medicaid programs, enrollment increases fall far short of job losses
Medicaid enrollment increases have lagged far behind unemployment increases but are still pressuring states facing a budget squeeze during the recession.
Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost
Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.
Despite the pandemic, hospitals continue to shift toward value-based payment
Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.