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Magazine
Anthem, LA providers creating HMO to compete with Kaiser
By Melanie Evans | September 20, 2014 | Print Magazine Print Magazine Subscription Details
An unusual joint venture between Anthem Blue Cross and seven competing Los Angeles-area hospital systems to offer employers a low-priced HMO plan underscores the eagerness of insurers and providers to try novel and risky strategies to survive in the rapidly changing healthcare marketplace.
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Magazine
Back to the future in La La Land
By Merrill Goozner, Editor | September 20, 2014 | Print Magazine Print Magazine Subscription Details
A new joint venture linking California's second-largest insurer and seven major providers in a defined network that will compete directly with Kaiser Permanente throughout greater Tinseltown represents a major milepost in the nation's movement toward healthcare network competition and value-based...
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Magazine
Stronger narrow network rules debated by experts
By Paul Demko | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Health plans with narrow provider networks have sparked broad controversy among healthcare providers and consumers. Insurers and employers are relying on them to keep premiums down and ensure quality, following experts who say such “value networks” are effective and necessary.
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Magazine
Health Care Cost Institute's head on offering clear data to patients
By Modern Healthcare | September 20, 2014 | Print Magazine Print Magazine Subscription Details
David Newman is executive director of the Washington-based Health Care Cost Institute. The organization's mission is to foster better understanding of the drivers of healthcare costs and to provide a database on public- and private-sector costs and quality. Modern Healthcare reporter Darius Tahir...
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Magazine
Narrow networks can provide clear benefits
By Joseph Berardo Jr. | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Health plans are redesigning benefits to encourage the use of higher-value providers.
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News
IRS finalizes rule limiting insurers' tax deductions for employee pay
By Virgil Dickson | September 19, 2014 | Basic Web Basic Web Subscription Details
The Internal Revenue Service is issuing final regulations regarding a somewhat obscure provision in the Patient Protection and Affordable Care Act that imposes a $500,000 limit on the tax deductibility of health insurers' employee pay.
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News
Medical-liability carriers see 2013 premium income drop as providers consolidate
By Andis Robeznieks and Michael Sandler | September 19, 2014 | Basic Web Basic Web Subscription Details
The nation's largest medical-liability carriers are selling less insurance, and collecting less premium income, thanks to consolidation among healthcare providers, more self-insurance, a highly competitive market and a decline in claims frequency, experts said.
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News
Geisinger's insurance business booms but expenses outpace revenue
By Beth Kutscher | September 19, 2014 | Basic Web Basic Web Subscription Details
Geisinger Health System reported a lower operating margin for fiscal 2014, 3.4% compared to 4.9% last year, after a sharp rise in its expenses.
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News
Reform Update: Exit of PreferredOne from MNsure raises practical and political questions
By Paul Demko | September 19, 2014 | Basic Web Basic Web Subscription Details
PreferredOne was one of the biggest surprises of Obamacare's first open-enrollment period. The plan captured 59% of enrollments through Minnesota's exchange. But on Tuesday, PreferredOne delivered a new surprise: It's pulling out of the MNsure marketplace.
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News
As a proton therapy center closes, some see it as a sign
By Jaimy Lee | September 18, 2014 | Basic Web Basic Web Subscription Details
The Indiana University Proton Therapy Center will close in December, marking the first time a proton-beam therapy center in the U.S. has shut its doors since the rapid proliferation of the costly treatment centers began about a decade ago.
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