Oscar slashes commissions amid increased losses

The company blames market instability for its need to cut back.

By Heather Caspi • Dec. 7, 2015

Kaiser Permanente signs acquisition deal for Group Health Cooperative

Pending approvals, it will be a major merger among systems combining care delivery with insurance coverage.

By Heather Caspi • Dec. 7, 2015

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

Anthem/Cigna merger awaits regulatory approval after shareholder vote

The approval may not come easy as numerous groups, including the American Medical Association and the American Hospital Association, lobby for extreme scrutiny.

By Heather Caspi • Dec. 7, 2015

Insurers adjust with the times as HIV becomes manageable

With 1.2 million Americans living with HIV, traditional life insurance policies are now being offered to individuals with HIV for the first time.

By Nina Flanagan • Dec. 7, 2015

More PPOs end caps on out-of-network expenses

Many PPOs being offered under the ACA have quietly done away with this traditional benefit.

By Heather Caspi • Dec. 4, 2015

Senate overwhelmingly votes to repeal Cadillac tax

The vote shows there is veto-proof bipartisan support in the Senate for repealing the Cadillac tax.

By Jeff Byers • Dec. 3, 2015

Employers strategize for 2018 as Cadillac Tax takes fire

Though the policy's future is in question, the time to plan for it is now.

By Heather Caspi • Dec. 2, 2015

Arizona co-op exhausts options, concedes to Dec. 31 closure

Meritus Health Partners has been unable to save the organization.

By Heather Caspi • Dec. 2, 2015

Congress on brink of passing ACA repeal package

GOP leaders are gaining support for the purely symbolic gesture.

By Heather Caspi • Dec. 2, 2015

CMS stands ground on two-midnight hospital pay cut

While the agency published a new notice with comment period, the outlook doesn’t look great for hospitals against the rule.

By Jeff Byers • Dec. 2, 2015

UnitedHealth projects lower 2016 revenue, cites exchange losses

The insurer says it was a mistake to enter the exchange system in 2015.

By Heather Caspi • Dec. 2, 2015

Cigna agrees to settle shareholder lawsuits over megamerger

Last year, 93% of mergers and acquisitions valued above $100 million were challenged by investors. 

By Nina Flanagan • Dec. 1, 2015

HHS addresses the Obamacare signup blues

Will better cost estimation prevent new customers from dropping policies?

By Heather Caspi • Dec. 1, 2015

Mississippi to cover bariatric surgery costs

Topping the nation's list of obesity rates for years, Mississippi now will reverse its stance on refusing to cover bariatric surgery costs for Medicaid beneficiaries. 

By Nina Flanagan • Nov. 30, 2015

Tax loss leaves California with $1.1B health budget hole in 2016

State officials and insurers are in a stalemate over how to resolve the shortfall.

By Heather Caspi • Nov. 30, 2015

Hawaii exchange calls it quits ahead of schedule

The state will transition to HealthCare.gov in December rather than early 2016.

By Heather Caspi • Nov. 25, 2015

Guidance sought in HHS transgender protections

Insurers suggest HHS needs to create universal guidelines to help plans move forward.

By Heather Caspi • Nov. 25, 2015

5th insurer leaves NY Medicaid reform program

With a lack of education about the program, dual-eligibles are opting out rather than opting in.

By Heather Caspi • Nov. 25, 2015

Conservative groups press to limit risk corridors payout

A coalition is pressing lawmakers to minimize the financial cushions insurers were promised under the ACA.

By Heather Caspi • Nov. 25, 2015

Study: Pre-diabetes found in half of all 45-year-olds

The study results indicate half the population with normal blood sugar will develop pre-diabetic levels.

By Nina Flanagan • Nov. 25, 2015

Health insurance marketing in the age of the ACA

The changing health insurance landscape has necessitated changes in companies' strategies to gain market share. 

By Heather Caspi • Nov. 24, 2015

New ACA requirements driving up improper Medicaid payments, says CMS

CMS CMO Dr. Patrick Conway said improper Medicaid payment rates would have decreased without ACA's new requirements.

By Nina Flanagan • Nov. 24, 2015

Anthem, Aetna optimistic about ACA exchanges in spite of losses

The insurers remain committed although money and enrollment in plans has been lost.

By Nina Flanagan • Nov. 24, 2015

Planned Parenthood sues Texas over Medicaid money

In a joint program, does the state or federal government decide what providers can participate?

By Heather Caspi • Nov. 24, 2015

Survey: Healthcare costs holding steady thanks to 'Cadillac tax' strategies

Additionally, fewer employers are considering dropping coverage entirely, according to Mercer.

By Jeff Byers • Nov. 23, 2015