Tag:
payer-provider relationships
Latest Headlines
Latest Headlines
Fierce exclusive: Horizon CEO defends tiered network
Horizon Blue Cross Blue Shield of New Jersey drew a firestorm of criticism from providers in the state when it announced its new Omnia Health Alliance, a tiered physician network intended to cut healthcare costs and further the transition to value-based care. But Horizon BCBSNJ CEO Bob Marino tells FierceHealthPayer in an exclusive interview that the critics have it all wrong.
Payers face more provider competition in the Medicare Advantage market
The lines between providers and payers are blurring as more and more providers enter the health insurance market--many with an eye on lucrative Medicare Advantage enrollees, says Avalere CEO Dan Mendelson in an interview with FierceHealthPayer.
Payer-provider M&As face 'challenging' regulatory environment
Insurers will continue to face a "challenging" regulatory environment, requiring them to make critical decisions this year--particularly when it comes to merging with and acquiring providers, according to a new report from Deloitte.
4 complaints providers have with Medicare Advantage
Medicare Advantage plans are widely popular among Medicare-eligible consumers, but not everyone is fond of them. Many providers actually dislike the Medicare Advantage program and, therefore, are reluctant to contract with Medicare Advantage insurers.
Consider another perspective to improve healthcare relationships
I recently celebrated my daughter's fourth birthday; so my interest was piqued when I read a story from my colleague about how insurers should embrace their inner 4-year-old to enable...
Blurred lines: Payer execs talk collaborative future
Accountable care organizations are taking hold across the country, blurring the line between healthcare insurers and providers so that payers as we know them may not exist a decade from now, according to a panel discussion this morning at the ACO Summit in the District of Columbia.
The unhealthy payer-provider marriage
Trust is what makes all good relationships work. Whether with spouses, families, friends or business partners, trust is the cornerstone of a strong, healthy bond. Newly engaged, I've found...
UnitedHealth ranks least trustworthy among hospitals
As hospitals accumulate more financial risk, they need to trust their insurers. However, hospital executives have little faith in health insurance companies, according to a 2014 ReviveHealth National Payer Survey.
UnitedHealth ranks least trustworthy among hospitals
As hospitals accumulate more financial risk, the level of trust with insurers is key. However, hospital executives have little faith in health insurance companies, according to a 2014 ReviveHealth National Payer Survey.
Governor forces Mississippi Blues to reinstate HMA hospitals
After Blue Cross Blue Shield of Mississippi last week offered to reinstate four hospitals owned by Health Management Associates at higher in-network rates, the state's second largest hospital company turned down the proposal.
