Expenditures on healthcare grew at a historically low rate between 2009 and 2013, according to a recent report, defying the conventional wisdom that healthcare spending has skyrocketed.
A Robert...
Anthem Blue Cross Blue Shield has partnered with Ohio-based Premier Health to expand its value-based care offerings to its employer-based, individual and Medicare Advantage members.
The agreement...
With passage of the AHCA, the insurance industry group AHIP has sent its response to congress and presented its recommendations for what direction to go in with healthcare reform
The payer industry...
The Department of Justice is suing UnitedHealth for alleged Medicare Advantage fraud in a civil case. The complaint, filed in the Western District court, is “for monies unlawfully...
As of 2018, HealthCare.gov will no longer host the Small Business Health Options Program (SHOP) Marketplace. Usage of the healthcare insurance exchange by insurance producers and overall...
Two-thirds of physicians in a new Merritt Hawkins survey reported having a negative impression of the American Health Care Act (AHCA). This includes 58 percent of physicians who have a...
After a court ruling in Delaware, Anthem has notified Cigna that their proposed $54 billion merger is off, but that doesn’t mean the two insurance companies are amicably parting ways.
Anthem has...
In a letter sent to Senate leadership, American College of Cardiology President Mary Norine Walsh, MD, advised lawmakers to ensure access to “meaningful insurance coverage and quality,...
Maine will apply for a Section 1115 Medicaid waiver from the Centers for Medicare and Medicaid Services (CMS) to be granted flexibility to circumvent federal regulations and impose reforms on its...
Aetna is ending participation in the Delaware and Nebraska ACA health insurance exchanges, completing its retreat from the public marketplace. The company also made announcements earlier...
Humana will bring its value-based orthopedic bundled payment program to 11 orthopedic specialty groups in North Carolina and Virginia. The move follows a recent expansion into Kentucky and...
Blue Cross-Blue Shield (BCBS) has announced its plans to offer coverage options on Tennessee’s Affordable Care Act health insurance exchange in 2018. The separate rating area consists of 16...
To circumvent an obscure Medicaid requirement, seven more states applied to join California, Maryland, Massachusetts and New York to receive a Medicaid waiver to expand drug addiction...
Patients in Maryland looking for insurance in 2018 may have bigger bills than they bargained for. The health insurance exchange rates for individual and group plans in the state have risen by up to 58...
Despite financial penalties designed to prompt consumers to keep their health insurance, current efforts to subsidize care for low-income individuals may not be enough to incentivize patients,...
The House vote to pass the American Health Care Act (AHCA) has drawn responses from across the healthcare industry. The bill was passed 217-213, and immediately created a firestorm of...
Just seven days after a court upheld the initial ruling which blocked Anthem’s acquisition of Cigna, the nation’s second largest insurer is not giving up. Anthem has confirmed...
Pharmacy benefit managers (PBMs) are instrumental in helping payers provide appropriate access to prescriptions, expand access, and rein in drug spending, according to a recent report from the...
The House has successfully passed the American Health Care Act (AHCA) to repeal-and-replace the ACA. This was the House GOP’s second attempt to pass the bill, after the first vote was...
After a tumultuous 2016, Aetna announced a first-quarter 2017 net loss of $381 million, a significant reversal from a $737 million profit a year ago.
Aetna blamed the loss on costs...
