New U.S. employer alliance highlights the battle for employee health data

The Health Transformation Alliance, whose members provide health benefits for a combined four million employees and family members, is sparking debate with its plan to pool employee health data to improve health outcomes.

By Heather Caspi • Feb. 9, 2016

Humana sued over denial of colorectal cancer screenings

Exact Sciences is questioning Humana's legal basis for denying coverage in some states.

By Heather Caspi • Feb. 8, 2016

Explore the Trendline➔

Payer/provider relationships

As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.

By Healthcare Dive staff

Cigna announces encouraging final quarter profit

Predictions for 2016, meanwhile, factor in Cigna's suspension from enrollment and marketing of its Medicare Advantage plans.

By Heather Caspi • Feb. 8, 2016

Did the ACA plans cause this Blue Cross parent to lay off workers?

The layoffs come as an aftermath of HCSC's financial losses after taking on enrollees who bought health plans on ACA exchanges.

By Ana Mulero • Feb. 8, 2016

HHS touts enrollment of 12.7 million in ACA health plans

While the government is pleased, some insurers are not.

By Heather Caspi • Feb. 8, 2016

Will Maryland's pioneering healthcare system become the nation's new roadmap?

Health advocates and lawmakers are watching closely to see if the only state with an all-payer payment model is successful. 

By Nina Flanagan • Feb. 6, 2016

Obama proposes way to make 'Cadillac' tax more palatable

The president wants to recast the ACA excise tax on high-cost health plans to reflect regional differences.  

By Meg Bryant • Feb. 5, 2016

HHS proposes to modernize privacy rules on substance abuse records

While the proposed revisions signal the growing need to share health data as healthcare models become increasingly integrated, some believe the patients affected by the rule may not understand what consent they will be signing away.

By Jeff Byers • Feb. 5, 2016

Opioid-related deaths have never been higher. Here's how the government is stepping in.

While the FDA and president are calling for greater scrutiny over opioids, states like Ohio are seeing hard work pay off in opioid prescription reduction efforts.

By Jeff Byers • Feb. 4, 2016

Republicans lose bid to override Obama's ACA repeal veto

The GOP is now looking toward a presidential win to take down the health law.

By Heather Caspi • Feb. 4, 2016

Analyses argue Sanders' single-payer plan doesn't add up

Two high-profile new analyses challenge Bernie Sanders' math.

By Heather Caspi • Feb. 4, 2016

Michigan-based HealthPlus, Health Alliance approved for merger

The combined insurers weigh in at a total of a 650,000-member plan.

By Heather Caspi • Feb. 4, 2016

Covered California director pulls no punches over UnitedHealth's ACA complaints

The state exchange's Peter Lee argues UnitedHealth's difficulties are due to its own mistakes.

By Heather Caspi • Feb. 4, 2016

Healthcare Influencers: We sat down with beWellnm CEO Amy Dowd at NHPC16

Dowd elaborated on the state exchange's response when 15,000-17,000 individuals lost their plan coverage through Blue Cross and Blue Shield of Mexico.

By Jeff Byers • Feb. 3, 2016

No details on how Aetna would integrate Humana

Aetna's one promise is to run its government-related businesses from Louisville.

By Heather Caspi • Feb. 3, 2016

Is healthcare proving pivotal in presidential race?

While healthcare is playing a prominent role in debate, it may play a smaller role in voters' decisions.

By Heather Caspi • Feb. 3, 2016

Ohio health co-op drops major hospital system

The change was announced just as open enrollment was coming to a close.

By Heather Caspi • Feb. 3, 2016

Boston Children's Hospital, Aetna announce conflict resolution

The pair have reached a deal on reimbursement rates to end their contract dispute.

By Heather Caspi • Feb. 3, 2016

Wellness trends raise eyebrows in 2016

Companies may soon have more on the line in terms of employee health.

By Heather Caspi • Feb. 3, 2016

On-demand healthcare's allure predicted to net $1B in 2017

Willingness of large payers to reimburse for such services are driving investment interests.

By Meg Bryant • Feb. 3, 2016

How EMR miscommunication can contribute to $1.7B in US malpractice claims

Poor communication continues to be a major factor in malpractice claims, 22 years after a Boston Globe reporter’s death propelled the problem into the national spotlight.

By Meg Bryant • Feb. 3, 2016

Centene raises Health Net bond offering to $2.4B

The Centene-Health Net deal, valued at $6.8 billion, would create a managed care company with more than 10 million members and close to $37 billion in revenue. 

By Nina Flanagan • Feb. 2, 2016

Report: UnitedHealth subsidiary marketing itself on ACA exchanges

Amid talks of leaving ACA's public exchanges, a 4site Health report finds UnitedHealth subsidiary Harken Health is marketing new health insurance products on the exchanges in Atlanta and Chicago. 

By Nina Flanagan • Feb. 2, 2016

Aetna: ACA plans remain 'unprofitable,' Medicare, Medicaid business growing

The company's Medicare and Medicaid plans helped its government revenues rise to $5.3 billion.

By Jeff Byers • Feb. 1, 2016

State takeover of Moda shakes up Oregon insurance market

The company says it will exit the individual market though little impact was expected in its group insurance.

By Heather Caspi • Feb. 1, 2016