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Magazine
Just the beginning | Growing demand for insurance could lead to transparency, competition
By Merrill Goozner | October 05, 2013 | Print Magazine Print Magazine Subscription Details
The rollout of the health insurance exchanges last week revealed a reality never mentioned by the Republicans on Capitol Hill who shut down the U.S. government.
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Magazine
'Providers have been pretty satisfied' with negotiated rates
By Melanie Evans | October 05, 2013 | Print Magazine Print Magazine Subscription Details
Hospital systems seem to be doing better than expected in rate negotiations with insurers offering plans on the state insurance exchanges in 2014. Analysts and hospital executives interviewed by Modern Healthcare say hospitals will be paid nearly the same...
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News
Reform Update: Training lagging for counselors to help consumers use exchanges
By Steven Ross Johnson | October 03, 2013 | Basic Web Basic Web Subscription Details
Providers and community groups designated as certified application counselors to help consumers enroll in health plans on the insurance exchanges are still waiting for staff to receive certification.
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News
Reform Update: Providers get same rates from plans inside, outside exchanges
By Melanie Evans | October 02, 2013 | Basic Web Basic Web Subscription Details
Hospitals will be paid nearly the same rates by health plans sold through new state insurance exchanges as by plans sold to employers outside them, analysts and hospital system execs say.
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Vital Signs
HHS posts data on available plans in 36 states
By Maureen McKinney | October 02, 2013
Having trouble logging in to healthcare.gov? Have no fear. In response to opening-day technical glitches and heavy traffic to its insurance marketplace website, HHS posted data Tuesday afternoon showing available plans and premiums across the 36 states with federally facilitated insurance...
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Vital Signs
Switch ACO model to efficiency incentives from volume, authors say
By Melanie Evans | October 02, 2013
A Medicare test of accountable care in Wisconsin slowed cost growth last year for about 20,000 seniors. That's good news, of course, to economists and policymakers. But for hospitals, the news was not all good because most payers continue to reimburse on a fee-for-service basis rewarding more...
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News
On Day 1 of open enrollment, insurance stocks jump
By Beth Kutscher | October 01, 2013 | Basic Web Basic Web Subscription Details
As insurance exchanges opened Tuesday, health insurance company stock prices reflected optimism about the impact of the healthcare reform law's extension of coverage to millions of uninsured.
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News
Continuum, Mount Sinai complete merger in N.Y.
By Melanie Evans | September 30, 2013 | Basic Web Basic Web Subscription Details
Continuum Health Partners and Mount Sinai Medical Center closed on a merger deal that consolidates two of New York City's largest hospitals.
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News
Reform Update: Blues wins first federal contract to offer multistate plans on insurance exchanges
By Maureen McKinney | September 30, 2013 | Basic Web Basic Web Subscription Details
The Blue Cross and Blue Shield Association is the first insurer to receive a federal contract to offer individual insurance coverage options across a majority of state insurance exchanges in 2014.
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Magazine
Healthcare's Hottest No. 37: Prime Therapeutics
By Modern Healthcare | September 28, 2013 | Print Magazine Print Magazine Subscription Details
What it does: Prime, owned collectively by 13 Blue Cross and Blue Shield plans, is a pharmacy benefit manager that handles patient prescription drug benefits for health plans, employers and government programs.
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