Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Aetna, Humana Terminate Merger Deal After Court Defeat

    February 14, 2017 - Aetna and Humana have scrapped their merger plans after the Department of Justice blocked the deal due to antitrust concerns.  Aetna will pay Humana a $1 billion termination fee, included as part of the original agreement. The DOJ lawsuit, along with increased opposition from medical and political organizations, helped to end the merger. A class-action shareholder lawsuit followed the...

  • Federal Judge Strikes Down Cigna-Anthem Health Insurance Merger

    February 9, 2017 - A federal judge in Washington DC recently blocked a potential $48 billion health insurance merger between Cigna and Anthem, according to a Department of Justice (DoJ) press release. The two payers started the merger process back in the summer of 2015, along with Humana and Aetna. But all four faced significant opposition, including  DoJ requests to dismantle the possible mergers. The...

  • Proposed ACA Replacement Moves Coverage Choices to the States

    February 6, 2017 - Several Republican lawmakers have introduced the “Patient Freedom Act” as a proposed replacement of the Affordable Care Act, emphasizing state authority and local decision-making in the health insurance market. Senators Bill Cassidy, MD (R-LA), Susan Collins (R-ME), Shelly Moore Capito (R-WV), and Johnny Isakson (R-GA) drafted the legislative text with the intent to eliminate several...

  • Shareholder Class Action Lawsuit Filed Against Aetna

    February 3, 2017 - A shareholder class action lawsuit has been filed against the national health insurance company Aetna Inc., according to a press release from the law firm of Kessler Topaz Meltzer & Check, LLP. The announcement came earlier this week and delves into Aetna’s alleged leverage of its participation in the health insurance exchanges for the Department of Justice to overlook...


Today's Top Stories

GOP Leaders Unveil Proposed ACA Repeal, Replacement Plans

GOP leaders have unveiled their latest proposal to repeal and replace the Affordable Care Act with new health insurance regulations. The outline includes cutting federal Medicaid expansion, moving more Medicaid control to the states, and restructuring...

After Terminated Merger, Cigna Demands $13B from Anthem

UPDATE: Anthem has secured a restraining order against Cigna preventing the final dissolusion of the merger.  The temporary order will be reviewed during a Delaware Chancery Court hearing on April 10. After a court ruling ended the...

CMS Proposes New Rule to Stabilize Health Insurance Exchanges

CMS recently announced a proposed rule designed to help stabilize health insurance exchanges by promoting more coverage options and improving the risk pool for insurers. The proposed rule comes just one day after Humana publicized its decision...

Humana to Leave ACA Health Insurance Exchanges by 2018

Humana will halt sales of individual health insurance plans through the Affordable Care Act’s exchanges by 2018, which will leave more than 150,000 Humana customers without a carrier.   Amid ongoing political uncertainty, Humana said...

Does Tiered Cost-Sharing Promote Appropriate Medication Use?

Health plans have traditionally used tiered formulary cost-sharing arrangements to reduce healthcare spending and incentivize appropriate medication use. But a recent Journal of Managed Care & Specialty Pharmacy study found that stakeholders...

Aetna, Humana Terminate Merger Deal After Court Defeat

Aetna and Humana have scrapped their merger plans after the Department of Justice blocked the deal due to antitrust concerns.  Aetna will pay Humana a $1 billion termination fee, included as part of the original agreement. The DOJ lawsuit,...

Joint Replacement Bundled Payment Cut Costs, Maintained Volume

A new Altarum Institute study confirmed previous research that bundled payment models for lower extremity joint replacements decreased care costs without sacrificing care quality or substantially increasing procedure volumes. In September 2016,...

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