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Healthcare Economics

Cigna-Express Scripts deal reflects industry in transition

Cigna-Express Scripts deal reflects industry in transition

The need to tame healthcare spending and stay on top of potential competition has led health insurers to pair up with nontraditional partners. Here's how the five dominant national insurers are reshaping themselves and the industry.

Skilled-nursing occupancy hits record low

Skilled-nursing occupancy hits record low

Occupancy at SNFs across the United States reached a record low of 81.7% in the second quarter of 2018, down from 83.1% over the same period last year as policy changes take hold and competition ramps up.

Some startup insurers are ditching the deductible

Some startup insurers are ditching the deductible

Two health insurance startups that are ditching high-deductible plans in favor of straightforward copays illustrate a growing sentiment that having patients pay more out of pocket won't tame rising healthcare costs and could harm patients' health.

All-payer claims databases: a work in progress

All-payer claims databases: a work in progress

Although 16 states have all-payer claims databases, there's no evidence they have helped lower healthcare costs. Advocates say the databases should empower lawmakers and consumers by providing reliable data.

Data Points: Surprise! It's your out-of-network bill

Data Points: Surprise! It's your out-of-network bill

Surprise billing continues to be one of the most vexing problems facing the industry. Patients often don't know that the anesthesiologist or another provider are out-of-network when they go in for care. Then the surprise—usually shock—when the bill arrives.

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