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  • Industry News

    • The Wall Street Journal, Thursday, July 24, 2014
      SEATTLE, July 24, 2014 /PRNewswire/ -- Enlightiks, a provider of data and predictive analytics products and services to healthcare providers, is using Tableau to help physicians understand and manage data about their patients and practices
    • Kaiser Health News, July 21, 2014
      Florida Blue, the state’s dominant health insurer, snagged more than one in three consumers on the health law’s exchange this year, but many could face rate hikes as the carrier struggles with an influx of older and sicker enrollees, said the company’s top executive.
    • July 17, 2014 , Birmingham Business Journal
      Alabama residents looking for health insurance will have more options during the second year of the health exchange marketplace. UnitedHealthcare, the state's second largest insurer, has filed plans to expand its coverage to all 67 counties.
    • California HealthLine News, July 14, 2014
      Between September 2013 and May, about 6.7 million U.S. residents had signed up for Medicaid or the Children's Health Insurance Program under the Affordable Care Act, bringing the total number of individuals enrolled in the programs to almost 66 million, according to a CMS report released Friday, The Hill reports (Al-Faruque, The Hill, 7/11).
    • Healthcare Finance News , July 14, 2014
      Blue Cross and Blue Shield companies are making progress in its transition from fee-for-service to value-based reimbursement models.

      Over the past several years, Blue Cross insurers have been designing and implementing programs that emphasize primary care and try to curtail avoidable acute hospital treatment by reimbursing physicians and hospitals on pre-set, non-fee-for-service contracts
    • Denver Post, July 09, 2014

      In April, the staff projected 13 percent of people will drop or not pay for policies in fiscal 2015, but now they are expecting about 24 percent to drop their policies, according to the latest model.
    • July 07, 2014 , McKnights.com
      Long-term care providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday.
    • July 05, 2014 , Ocala.com
      Physicians United Plan once had more than 6,200 Medicare Advantage members in Marion County — the biggest market share of any such company here — and touted itself as the fastest-growing Medicare health plan in the state. Then it went out of business.
    • The Washignton Post, July 03,2014
      The overwhelming majority of Maryland residents who used the state’s troubled online marketplace to sign up for health insurance made possible by the Affordable Care Act have become customers of CareFirst, a massive and well-known insurance provider based in Maryland.
    • July 3, 2014 , NEW YORK
      30-Year Healthcare Visionary Will Bring Evidence-Based Innovations Directed at Quality of Patient Care and Management of Vulnerable Health Populations

      Read more: http://www.digitaljournal.com/pr/2031747#ixzz36P9Icwo0
    • Mondaq.com , July 01, 2014

      According to a CMS blog post by Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and Chief Medical Officer, the Medicare program is getting ready to role out a five-star rating system for three provider-types including hospitals, dialysis facilities and home health providers. These will be in addition to the five-star rating systems already being implemented for nursing homes and, to a limited extent, for physician practices.
    • WWLP, June 29,2014
      HARTFORD, Conn. (AP) — State insurance regulators are being urged by consumers and advocates to deny a 12.5 percent rate increase proposed by Anthem Blue Cross Blue Shield, Connecticut’s largest health insurer

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