Payer: Page 170
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Not a good day for Cigna after Q2 earnings release
CEO David Cordani noted if the Justice Department is successful in blocking the pending Anthem merger, Cigna will have "$5 billion in deployable cash."
By Jeff Byers • July 29, 2016 -
Deep Dive
ZendyHealth doubles down on patient consumerism with Pick-Your-Price feature
“There's going to be room for a lot of players like this,” said Founder & Chief Medical Officer Vish Banthia.
By Jeff Byers • July 28, 2016 -
Seniors decry automatic enrollment in Medicare Advantage plans
CMS officials are not saying how long the process has been going on.
By Heather Caspi • July 28, 2016 -
Anthem Q2 profits drop amid uncertain transaction with Cigna
The insurance giant is grappling with increased medical spending on top of its fight with the DOJ. The insurer's CEO said the pending Cigna acquisition "will help stabilize pricing" in the ACA market.
By Heather Caspi • July 28, 2016 -
Centene suffers stock drop over Health Net despite strong Q2 profit
The acquisition of Health Net has posed problems for Centene in the second quarter. In addition, Centene is giving possible Humana/Aetna divestitures a hard pass.
By Heather Caspi • July 27, 2016 -
Oscar hopeful slashing NY provider network in half will help scaling efforts
Cutting its 2017 provider network in New York in half from 40,000 to 20,000, the insurance startup is really banking on its tech savvy to beef up profits.
By Heather Caspi • July 27, 2016 -
Zoom+, Blue Cross settle suit over logo similarity
Blue Cross had fought Zoom in 2015 over its adoption of a blue cross logo.
By Heather Caspi • July 27, 2016 -
All states now providing CHIP with Arizona back in program
The state has re-opened enrollment in the Children’s Health Insurance Program.
By Heather Caspi • July 26, 2016 -
You're cordially invited to submit comments on the controversial Open Payments
Policy around required payment disclosures are set to get a second look.
By Heather Caspi • July 26, 2016 -
How UnitedHealthcare is making a purchase offer this Colorado insurer can't refuse
In exchange for access and a presence in Colorado's Medicaid market, the payer is investing to stabilize Rocky Mountain Health Plans.
By Ana Mulero • July 26, 2016 -
Cigna to Chicago ACA market: We want in
As insurers are exiting the marketplaces across the country, Cigna sees an opportunity in the Windy City.
By Jeff Byers • July 26, 2016 -
Zenefits pays $62,500 fine in TN to continue operations in the state
Paying down fines and settling issues upfront could be the beginning of the firm's comeback.
By Tom Starner • July 26, 2016 -
Deep Dive
Are insurers ditching PPOs?
One insider says PPO plans make the transition to alternate value based-payment models difficult since patients are not necessarily tied to a particular provider.
By Julie Henry • July 26, 2016 -
DoD's Tricare cuts UnitedHealthcare from $58B contract collection
Humana stands to benefit big from UnitedHealthcare's loss.
By Heather Caspi • July 25, 2016 -
Hospital M&A activity up 6.1% so far against last year
Should federal regulators put a stop to industry consolidation?
By Jeff Byers • July 25, 2016 -
CMS dips further into Medicare bundled payments. This time with cardiac care
The agency released its final rule on bundled joint replacement payments last November.
By Jeff Byers • July 25, 2016 -
Slavitt details MACRA commentators' 5 priority areas
The CMS acting administrator touted record engagement in the policywriting process.
By Heather Caspi • July 25, 2016 -
Megamerger stocks ride out U.S. antitrust challenge
The American Medical Association praised the U.S. effort to block the megamergers.
By Meg Bryant • July 22, 2016 -
CMS teases latest star ratings with 102 hospitals netting 5 stars
Teaching hospitals had lower overall star ratings than non-teaching hospitals.
By Meg Bryant • July 22, 2016 -
Report finds high risk of harm in rehab hospitals
Nearly half of harmful incidents could have been prevented, a government report finds.
By Meg Bryant • July 22, 2016 -
As feds set to quash merger plans, Humana floats exit of most ACA exchanges in 2017
The decision comes as the health insurance giant reported better than anticipated second-quarter results for its individual Medicare Advantage and healthcare services businesses.
By Meg Bryant • July 22, 2016 -
Report finds one-third of insurers were profitable in first year of ACA
Medical claims for 2014 were 5.7% higher than insurers had projected.
By Heather Caspi • July 21, 2016 -
CMS announces savings of $42B from program integrity efforts
Spending to reduce medicare fraud and waste is paying off, big time.
By Heather Caspi • July 21, 2016 -
U.S. files suits against insurance megamergers
In response, Cigna on Thursday remarked, "In light of the DOJ’s decision, we do not believe the transaction will close in 2016 and the earliest it could close is 2017, if at all."
By Jeff Byers • July 21, 2016 -
Aetna prepared to battle feds in court for Humana merger
Aetna argues divestitures and a broader view on the MA market will ensure sufficient consumer choice.
By Heather Caspi • July 21, 2016
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