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Private Payers News

Consumer Satisfaction Dips When Payers Lack Price Transparency

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Eighty-eight percent of consumers are looking for their health payer to relay complete information about their overall financial responsibility, according to a new survey by HealthEdge, indicating a strong desire for price transparency and openness....

Why Payers Should Consider Consumer Needs in Value-Based Care

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The Healthcare Financial Management Association (HFMA) released a new report called Health Care 2020: Consumerism showing that the health insurance industry has two new trends affecting it: a greater push toward patient cost sharing and outcomes-based...

Merger Suit Led Aetna to Drop out of Health Insurance Exchanges

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The national health payer Aetna may have chosen to reduce its participation in the Affordable Care Act’s health insurance exchanges due to the Department of Justice’s decision to pursue a lawsuit against the merger between Aetna and...

Comprehensive Primary Care Plus Program Selects Anthem BCBS

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The Centers for Medicare & Medicaid Services (CMS) has selected Anthem Blue Cross and Blue Shield in Colorado as a participant for their Comprehensive Primary Care Plus (CPC+) initiative, according to a company press release. The Comprehensive...

Health Insurance Acquisitions Impede Competition in 24 States

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The American Medical Association (AMA) announced today in a press release the results of a new study show that the health insurance acquisitions between Anthem-Cigna and Aetna-Humana would obstruct competition in the health insurance market throughout...

Why Aetna, Humana Argue in Favor of Health Insurance Merger

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On July 21, the Department of Justice (DOJ) announced during a press conference that they would be filing a lawsuit against two health insurance mergers between Aetna-Humana and Cigna-Anthem. The DOJ claimed that these health insurance mergers...

AMA Urges NY Regulators to Reject Health Insurance Mergers

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The Anthem-Cigna and Aetna-Humana health insurance mergers are facing more and more scrutiny throughout the medical industry and among federal officials. While the US Department of Justice filed a lawsuit against these health insurance mergers,...

How Healthcare Information Technology Boosts Member Engagement

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Healthcare information technology and communication channels remain an imperative aspect of the relationship between health payers and their consumers. As the healthcare industry continues to reform toward a value-based care platform, new legislation...

Payer Concentration Challenges Health Insurance Exchanges

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More and more research is pointing at the fact that consumers on the health insurance exchanges are being left with fewer health plan issuers. Part of this may be due to health payers such as UnitedHealthcare or Aetna leaving a large percentage...

Could Public Option Strengthen ACA Health Insurance Exchanges?

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The ACA health insurance exchanges are facing greater risk now that a number of healthcare payers have decided to drop out of the marketplace. UnitedHealthcare was the first to announce its departure from the ACA health insurance exchanges. More...

Did Aetna Need Merger to Stay in Health Insurance Exchanges?

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More and more payers are slowly dropping out of the Affordable Care Act’s health insurance exchanges. Earlier this year, UnitedHealth formally announced the decision to discontinue selling plans on the health insurance exchanges. More recently,...

Drop Outs in Exchanges, Health Insurance Merger Block Hit Market

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The health insurance market seems to be heading toward more and more consolidation as the major payers Humana and Aetna along with Cigna and Anthem seem to be bent on merging, which would essentially reduce competition and create consolidation...

Aetna Leaving Health Insurance Exchanges Due to DOJ Lawsuit

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The latest news coming from the major health payer Aetna is its move to drop out of the majority of the health insurance exchanges it had been participating in this year. According to a press release from Aetna, it will leave most of the public...

Affordable Care Act’s Reinsurance Programs Keep Market Stable

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One way that health payers can compete more effectively in the current destabilized environment is by investing resources in reinsurance programs. Reinsurance is a method in which a payer can buy a policy from other insurers in order to manage...

Affordable Care Act, Exchanges Challenge Health Payers

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Ever since the passage of the Patient Protection and Affordable Care Act (ACA), a number of opponents have found factors to criticize within the landmark healthcare law. But has it truly brought more problems for the healthcare industry? From...

Aetna Cancels its Expansion in Health Insurance Exchange

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The national health payer Aetna continues to make headlines in the month of August after the public learned last month about the Department of Justice’s move to block Aetna’s major health insurance merger with Humana. On August 2,...

Does Blocking Health Insurance Mergers Impact ACA Exchanges?

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Last week, the Department of Justice announced that it will be filing lawsuits against the Anthem-Cigna and Aetna-Humana health insurance mergers. The issue at hand is that these health insurance mergers would increase concentration and hurt...

California’s Health Insurance Exchange Premiums May Spike 13%

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Premium rates on the state health insurance exchanges are expected to continue rising over the next year due to some of the provisions of the Affordable Care Act (ACA). Since the ACA has brought more coverage options and a greater number of covered...

Minnesota’s Biggest Payer Leaves Health Insurance Exchanges

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State health insurance exchanges are likely to see more disruption in the health insurance market with some payers either leaving the individual consumer marketplace or limiting their offerings in the coming year. The health payer UnitedHealthcare...

Why Payers Should Include Consumer Engagement in Health Plans

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In order to ensure that the health insurance exchange successfully reduces healthcare spending, it may be necessary to strengthen consumer engagement and education so that policyholders continually purchase the right health coverage for their...

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