Payers news and information

Provider groups say a CMS rule interpreting the healthcare reform law that gives consumers a grace period for unpaid health insurance premiums will put them at significant risk of delivering services for which they won't get paid.
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The Obama administration has delayed until 2015 a significant consumer protection in the reform law that limits how much people may have to spend on their own healthcare.
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The Federal Trade Commission and Phoebe Putney Health System are in settlement talks to resolve a bitterly disputed court battle over a $200 million hospital acquisition in southwest Georgia.
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The online insurance exchange that Oregon established under the healthcare law will not allow residents to sign up for coverage on their own when enrollment begins nationwide on Oct. 1.
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A new analysis of New York hospital data showed a reduction in surgical death rates and improvements in treating serious illnesses over a decade despite higher post-surgical infections and deaths from operations where part of the skull is removed.
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Three years ago, Henry Ford Health System began to overhaul how its doctors and nurses care for patients outside the Detroit-based system's six hospitals. Now it must face the economic strains of its own success, as fewer patients turn up to fill hospital beds.
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With the Oct. 1 date for enrollment in the health insurance exchanges being created by Obamacare less than two months away, a war of numbers has been escalating. Health insurance will cost way less. Or it will cost way more. It depends who you ask.
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Sandy McCoy, president of the Texas Nurse Practitioners, listened to Judge Clay Jenkins at the Enroll Dallas County Partnership Stakeholders Meeting. With an unveiling a little more than 50 days away, many of the key details about the new health insurance marketplace remain under wraps.
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Over the past three years, insurance groups have waged an intense but little-noticed effort to regulate navigators in the states, leading to the passage of 16 state laws in the past year and a half.
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Health insurers face a new requirement to rapidly communicate electronically with providers whether a patient has coverage and how much treatment will cost the patient in co-pays and deductibles.
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