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Spotlight to shine on physician payments

Spotlight to shine on physician payments

By Jaimy Lee  |  September 27, 2014

While the Sunshine Act was intended to help patients understand potential conflicts of interest in their care, some stakeholders fear the data may be used by government investigators and insurers tracking doctors' prescribing, surgical and other practice patterns.

ACA open enrollment for 2015 causing anxiety for plans, providers

ACA open enrollment for 2015 causing anxiety for plans, providers

By Paul Demko  |  September 13, 2014

The 2014 Obamacare open enrollment period focused on signing up as many people as possible. But when enrollment for the second year of coverage opens on Nov. 15, the task for health plans, insurance brokers and navigators will be more complex.

Provider plans price more aggressively on insurance exchanges

Provider plans price more aggressively on insurance exchanges

By Paul Demko  |  August 23, 2014

The launch of the Obamacare exchanges has offered an opportunity for provider-sponsored plans to compete on a level playing field with the traditional insurers that long have dominated the individual and small-group markets.

Most Influential leaders have blazed bold reform paths

Most Influential leaders have blazed bold reform paths

By Andis Robeznieks  |  August 23, 2014

The man who may have to keep his veto pen handy to block congressional Republican efforts to repeal or roll back the Patient Protection and Affordable Care Act took the top spot in Modern Healthcare's 100 Most Influential People in Healthcare.

Without Medicaid expansion, some hospitals suffer

Without Medicaid expansion, some hospitals suffer

By Beth Kutscher  |  August 16, 2014

Hospitals in Medicaid expansion states are seeing deep reductions in their uninsured volume and the amount of uncompensated care they deliver. That's not happening in nonexpansion states.

ONC chief Karen DeSalvo on EHRs, IT safety

ONC chief Karen DeSalvo on EHRs, IT safety

By Modern Healthcare  |  August 16, 2014

Dr. Karen DeSalvo, HHS' fifth national coordinator for health IT, discusses progress toward meaningful use of electronic health records, the push for EHR interoperability and the proposed Health IT Safety Center.

Obamacare subsidy rulings put heat on governors

Obamacare subsidy rulings put heat on governors

By Paul Demko  |  July 26, 2014

Republican governors—particularly those in tough re-election battles—could find it politically dicey to resist taking steps to keep exchange subsidies flowing in their states.

Looking at how high court might rule on exchange subsidies

Looking at how high court might rule on exchange subsidies

By Joe Carlson  |  July 26, 2014

The Obama administration hopes the latest legal challenge to the Patient Protection and Affordable Care Act never reaches Chief Justice John Roberts and his colleagues on the U.S. Supreme Court. But some legal scholars say there's reason to think that past opinions by conservative justices would...

N.C. Senate race offers barometer on Obamacare

N.C. Senate race offers barometer on Obamacare

By Paul Demko  |  July 26, 2014

The North Carolina Senate race is one of the most closely watched contests in the country. It's among a dozen nationwide that will determine control of the U.S. Senate in 2015.

Healthcare winners and losers in tax reform

Healthcare winners and losers in tax reform

By Merrill Goozner, Editor  |  July 19, 2014

One can only hope the spate of tax-motivated mergers in the pharmaceutical and medical-device industries finally will motivate Congress to reform the corporate tax code—a long-sought goal of the business community.

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