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Doc compensation methods may frustrate shift to value


Shifting doctors to pay-for-value models will not be easy because their compensation is based on different methods that may not encourage incentive rewards. Read more »

Wellness skeptics cite employee coercion over empowerment


When the Harvard Business Review publishes an essay called "The Cure for the Common Corporate Wellness Program," you know the backlash is real. Read more »

Few early Medicare ACOs reap rewards despite savings


Accountable care organizations saved more than $380 million after their first year, but only 29 were able to share in the savings. Read more »

Expensive hospitals perform worse on readmissions than lower-priced rivals


A study of autoworker claims found that hospitals with the highest prices tended to have the strongest reputations and tight holds on their local markets yet showed little evidence of providing better quality care. Read more »

Halfway to March, co-op boasts of market share, young membership


Colorado's new health co-op is claiming an early success on the road to its long-term enrollment goals and is the first exchange plan to report membership data. Read more »

State launches transparency site, promises more on cost, quality


South Carolina's Department of Health and Human Services has unveiled a new healthcare transparency website, offering digital tools state that officials hope will empower consumers and hold providers and health plans accountable. Read more »

Covered California has big ideas for quality ratings


Covered California has unveiled health plan quality ratings to help guide insurance shoppers, ahead of most other states and the federal government. Read more »

WellPoint profits fall on contacts sale, but HIX sign-ups robust


WellPoint reported that fourth-quarter 2013 earnings fell nearly 68 percent on higher costs related to the sale of its contact lens business, but revenues rose on increased use of medical services towards the end of the year. Read more »

Judge orders St. Luke's Health to undo merger


A U.S. district court judge ruled in favor of the Federal Trade Commission in an antitrust case that may shape the future of hospital acquisitions of physician groups. Read more »

Struggling marketplace takes private HIX, brokers up on help offers


With Maryland Health Connection's website still dysfunctional, the exchange's board is turning to traditional and online brokers to salvage the public marketplace program. Read more »

First crop of Medicare ACOs navigate data problems


A survey of Medicare ACOs after their first year in operations suggests that all parties, government and private sector health organizations, have improvements to make in the coming years, especially when it comes to sharing data. Read more »

State pins hopes on telehealth to curb diabetes epidemic


Mississippi Gov. Phil Bryant is hoping to better control his state's diabetes epidemic with a new telehealth initiative, launching a public-private partnership to treat at-risk patients in underserved areas. Read more »

Blues start pregnancy medical home, see more ACO results


Horizon Blue Cross Blue Shield of New Jersey has launched the state's first patient-centered pregnancy and delivery episode of care program designed to bring about better outcomes, patient experience and lower costs through better coordination of care for pregnant women. Read more »

UnitedHealth may scoop up wellness startup


UnitedHealth Group may be acquiring another digital health company, this time eying the wellness market and an app already in use by thousands of members at a rival health plan. Read more »

Humana sued over consumer troubles cancelling policy


Humana is being sued by an individual policyholder claiming he has been unable to cancel the plan despite months of trying, in what may be first such lawsuit over insurance company practices during the transition to ACA-compliant health plans. Read more »

Please stop calling services 'free,' senators ask HHS


The Department of Health and Human Services is constantly promoting Medicare and the Affordable Care Act, but some Republican senators are getting annoyed with one slogan: "free preventive services." Read more »

Highmark's health system finds a partner for comprehensive oncology


Highmark's Allegheny Health Network is partnering with Johns Hopkins Medicine to offer members more options for cancer care in western Pennsylvania, while also bringing more competition to the region's dominant provider. Read more »

Amid reform clouds, ratings agency rethinks forecast for insurers


Continued uncertainty and regulatory surprises in the evolution of the Affordable Care Act have prompted Moody's to change its outlook of the health insurance industry for the worse, but not for every company. Read more »

Top 5 health policy issues facing states


Since a significant portion of states' health budgets go towards paying for Medicaid, public employees and public retirees, states are keenly aware of health policy and the need for innovation and reform to hold down costs while improving care. Read more »

Anthem among NQF quality, safety awardees


The National Quality Forum and The Joint Commission have announced the 2013 recipients of the annual John M. Eisenberg Patient Safety and Quality Awards. Read more »

Preventive Services Task Force mulling new colon cancer screenings


The U.S. Preventive Services Task Force is comparing the effectiveness of CT scans for colorectal cancer along with other alternatives to the standard colonoscopy, in the first step to getting Medicare and private insurers to cover new screenings for the nation’s second-leading cause of cancer death. Read more »

Part-time retail employees headed to public exchanges


Continuing a trend in the retail economy, Target is ending health insurance options for part-time employees and sending them to health insurance exchanges, following the likes of Home Depot and Walgreens. Read more »

HRAs giving way to HSAs


Health savings accounts are growing more than ever, and possibly eating into health reimbursement accounts for the first time since researchers have been tracking the plans. Read more »

Most employees happy with private HIX choices, some want more


Most employees who recently started buying their insurance through a private exchange report a fair amount of satisfaction with their choices, although whether that ends up saving employers and employees money still isn't clear. Read more »

Payers investing in consumer data platforms


As they try to get a better handle on population health management and member engagement, payers are increasingly looking to consumer-facing technologies for help, according to the latest report from Chilmark Research. Read more »

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