News Archive for March 2018

Health Plan Data Governance Assists Value-Based Reimbursement

Rumors Swirl of Possible Walmart Acquisition of Humana

CVS, Aetna Merger May Face Antitrust, Consumer Protection Issues

OIG: Medicare Could Save $367M by Auditing Improper Payments

Aetna Will Apply Pharmacy Rebates to Prescription Drugs in 2019

Payers Form Coalition to Address Social Determinants of Health

Humana Bold Goal Targets Members’ Social Determinants of Health

Policy, Market Changes May Harm Employer-Sponsored Insurance

Urgent Care Center Utilization Skyrocketed by 1725% in Last Decade

Proposed Rule Deregulates Medicaid Managed Care, Fee-for-Service

AL Medicaid Work Requirements Linked to Health Equity Challenges

BCBS of MI Launches Bundled Payments for Hip, Knee Replacements

Payers Will Face Individual Health Plan Market Challenges in 2019

Member Engagement is Key for High-Deductible Health Plan Success

Proposed Legislation May Lower Individual Premiums by 40%

Payers Enter New Value-Based Care Agreements with Providers

Prior Authorization Issues Contribute to 92% of Care Delays

Payment Cuts Drive Medicare Advantage Plans to Contain Costs

Patient, Provider Engagement Drives High Health Plan Performance

BCBS Launches Institute to Address Social Determinants of Health

Tavenner Steps Down from AHIP, Hands Leadership to Matt Eyles

Payer Input is Key for High Performance Provider Networks

Cigna, Amazon Alexa Offer Voice Control Beneficiary Education

UnitedHealthcare Finds Value-Based Care Closed 50M Gaps in Care

Individual Insurance Premiums to Soar Without Policy Actions

CMS: Idaho Association Health Plan Expansion Violates ACA

AR Medicaid Demonstration Adds 9-Month Re-Enrollment Block

Cigna to Acquire Express Scripts for $67B to Expand Consumer Value

CMS: Payers Must Make Claims Data Available to Beneficiaries

UnitedHealthcare Integrates Apple Watch Into Wellness Incentives

BCBS Earned Positive ACA Health Plan Revenues in Uncertain Market

Centene to Acquire Medicaid, Medicare Advantage Provider Group

Idaho’s Expansion of Association Health Plans Risks ACA Market

HCSC Invests $1.5B to Develop Insurance Affordability Solutions

Latest Medicare Fraud Schemes Targeted $139.4M via Kickbacks

Uninsured Adults Apprehensive About Health Insurance Costs

Payer Meal Program Addresses Social Determinants of Health

Value-Based Care Key to Bipartisan Healthcare System Reform