Payer: Page 153
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Trump administration delays payer exchange deadlines, stalls on subsidies
Federal agencies are now working to stabilize the health insurance exchanges despite President Donald Trump's campaign promises to repeal the ACA.
By Luke Gale • Feb. 22, 2017 -
Judge grants Anthem's motion for a speedy appeal in Cigna merger case
The decision comes after the health insurance giant was granted a temporary restraining order to prevent Cigna from terminating the $54 billion deal.
By Ana Mulero • Feb. 21, 2017 -
Judge temporarily bars Cigna from dumping Anthem merger deal
A temporary injunction would preserve the deal’s current legal status, said Judge Travis Laster of the Delaware Court of Chancery.
By Meg Bryant • Feb. 17, 2017 -
Molina hangs 2016 income losses on poor ACA market performance
“While we experienced strong enrollment growth across our business and have made progress on our cost cutting efforts, today’s results highlight the continuing challenges we face in the ACA Marketplace,” said CEO Dr. J. Mario Molina said.
By Jeff Byers • Feb. 16, 2017 -
Is it too late to stop a death spiral on the ACA insurance exchanges?
The Trump administration has taken steps to stabilize insurance exchanges next year but payers are running out of time to decide their participation. Market uncertainty could see more insurers making their way for the door.
By Luke Gale • Feb. 16, 2017 -
Deep Dive
High costs give palliative care increased industry interest
“There’s no question that palliative care teams reduce avoidable crises and rationalize the care so that patients get only the care they want and need,” says Diane Meier, director of the Center to Advance Palliative Care.
By Meg Bryant • Feb. 15, 2017 -
CMS drops rule aimed at stabilizing ACA market
Expanding pre-enrollment verification and shortening the open enrollment period in the individual market are among the changes to the ACA the federal government is proposing.
By Jeff Byers , Ana Mulero • Feb. 15, 2017 -
Kaiser Permanente rebounds from poor 2015 profit performance
Kaiser Permanente Foundation Health Plan and Hospitals enjoyed a solid year financially after it saw profits drop 40% from 2014 to 2015.
By Luke Gale • Feb. 15, 2017 -
Humana to exit ACA exchanges
The health insurance company, which ended its plans to merge with Aetna on Tuesday, said it is "seeing further signs of an unbalanced risk pool."
By Ana Mulero • Feb. 15, 2017 -
California regulator report reveals insurers' flawed network lists
Cigna, Aetna and UnitedHealthcare were among major health plans in 2015 that reported inaccurate information to California’s managed care regulator.
By Meg Bryant • Feb. 14, 2017 -
Cigna ends Anthem merger; insurers sue each other
Cigna is seeking over $14 billion in damages from the failed merger bid. Anthem responded by filing for a restraining order that would stop Cigna from ending the deal.
By Ana Mulero , Shannon Muchmore • Feb. 14, 2017 -
Aetna, Humana drop merger plans
Aetna will now pay Humana the $1 billion breakup fee as the planned $37 billion merger has officially fallen through.
By Ana Mulero • Feb. 14, 2017 -
Studies show ACOs drive down spending regardless of structure
Accountable care organizations have shown an ability to drive down post-acute care spending and savings can be achieved through different reimbursement models, but further savings are possible.
By Luke Gale • Feb. 14, 2017 -
Congress joins executive branch in move to stabilize ACA exchanges
As Republicans continue to explore potential replacement plans, they are taking steps to improve insurance exchange stability beyond this year.
By Luke Gale • Feb. 14, 2017 -
Anthem fails to extend Cigna merger deadline, requests speedy appeal in antitrust case
The health insurance giant argued a speedy appeal process would benefit consumers, the judge "made serious errors of law, fact, and logic" with the court ruling to block its deal and it would "suffer irreparable harm" if the appeal is delayed.
By Ana Mulero • Feb. 13, 2017 -
Anthem files appeal to reverse court's blocking of $54B Cigna merger
The move had been expected given the $1.85 billion contractual breakup fee Anthem would owe Cigna if the merger isn't finalized.
By Ana Mulero • Feb. 13, 2017 -
Exiting ACA exchanges to cost UnitedHealth $4B in revenue
The nation's largest health insurance company reduced its participation in ACA exchanges from 34 states to just three in 2017.
By Luke Gale • Feb. 11, 2017 -
Deep Dive
What Tom Price's confirmation to head HHS means for healthcare
Policy analysts expect the new secretary to use a market-oriented approach to healthcare reform rather than a regulatory-based one.
By Ana Mulero • Feb. 10, 2017 -
US government ordered to pay Moda $214M over risk corridor program
While the ruling may offer a glimmer of hope to other payers suing the government, it is not clear how courts will rule in the future.
By Luke Gale • Feb. 10, 2017 -
Anthem-Cigna merger blocked by federal judge
Anthem stated on Thursday it intends to promptly file a notice of appeal.
By Jeff Byers • Feb. 9, 2017 -
Humana Q4 woes echo throughout payer industry
Several factors, including a blocked merger and troubles with the risk corridor program, contributed to a dismal fourth quarter for Humana.
By Luke Gale • Feb. 9, 2017 -
Medtronic wins contract to provide telehealth services for veterans
The medtech giant relocated to Ireland two years ago in an effort to avoid high taxes on U.S. corporations.
By Meg Bryant • Feb. 8, 2017 -
Deep Dive
Provider-payer rate negotiations changing as care models evolve
Though contracts between payers and providers vary depending on the details, value-based care initiatives and growth in the individual insurance market are changing the conversation.
By Luke Gale • Feb. 7, 2017 -
Centene's Q4 profits unscathed by looming ACA repeal
The health insurance company indicated it is prepared to weather any healthcare reform changes that might occur in the near future.
By Luke Gale • Feb. 7, 2017 -
Survey: Colleges struggling to meet mental health needs of students
Students often wait weeks to see a mental health counselor — long after the crisis that prompted the visit.
By Meg Bryant • Feb. 7, 2017
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