AHIP has released data showing that enrollment in the Medicare Supplement, Medigap, has seen a steady increase from 2014 to December 2015. The data represents statistics from 11.8 million...
The HealthWell Foundation has launched the Movement Disorders Fund to provide financial support for those patients unable to pay insurance premiums or copays for necessary chronic care management. The...
Health insurer Aetna was recently awarded a three-year contract as a provider of Delaware’s health plan offerings for its employees and pensioners.
Aetna has chosen a coordinated care...
Rhode Island will add Tufts Health Plan (THP) as its first new Medicaid option in seven years, according to the Rhode Island Executive Office of Health & Human Services (EOHHS). The new...
On Friday, a federal DC district appeals court upheld a February 2017 decision which blocked the acquisition of Cigna by health insurance giant Anthem. Antitrust concerns led 11 states and the...
Blue Cross-Blue Shield of Michigan has one of the nation’s most successful patient-centered medical home (PCMH) networks. The model has improved patient outcomes, lowered payer costs and...
A new report by the Commonwealth Fund found that Medicaid provides equal or better quality health coverage to private health insurance plans.
The Commonwealth Fund’s 2016 Biennial Health...
Three provider-owned health plans have recently completed multiple phases and been awarded CAQH CORE certification. This achievement places the provider-owned health plans at a level...
Emergency air ambulances save lives, but they can also leave patients in a mountain of debt. Pennsylvania Insurance Commissioner Teresa Miller would like payers to shoulder more of the costs of...
A stable health insurance marketplace is good for payers and consumers. Speculation over potential payer mergers, repeal or modification of the ACA, and the future of high-risk and low income subsidy...
A five-year partnership between Independence Blue Cross and the University of Pennsylvania Health Systems (UPHS) should help strengthen multiple aspects of care delivery for beneficiaries in the...
Aetna has announced that it will stop participating in the Iowa health insurance exchange in 2018, citing financial losses and market instability as primary reasons to exit.
"Earlier today we...
The House Judiciary Committee has voted 16-10 in favor of a bill that would revise and standardize part of the process of reviewing mergers for potential antitrust violations.
The Standard...
CMS announced updates to the Medicare Advantage (MA) program and Part D Prescription Drug Program, including an expected 0.45 percent increase in revenues for payers and the potential for up to 2.95...
Wellmark Blue Cross Blue Shield, which operates in Iowa and South Dakota, will not renew or sell individual plans on the Affordable Care Act health insurance exchanges effective Jan 1, 2018.
The...
Prescription drug costs consume the largest proportion of dollars spent on healthcare premiums, with 22 cents out of every dollar going to medication costs, says AHIP in a new data brief.
Eighty...
CMS will continue to take public comment on its pediatric alternative payment model (APM) initiatives until April 7, 2017.
In March, CMS issued a request for information (RFI) related to...
On Monday, the House Ways and Means Committee and the House Energy and Commerce Committee proposed two bills that together will effectively repeal and replace the Affordable Care Act. Combined the...
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...
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...