UnitedHealth, Walgreens pilot rewards program

The collaboration encourages simple "micro-habits" that can lead members toward healthier choices. 

By Heather Caspi • April 14, 2015

'Angelina Effect' increases demand for genetic testing

Some major insurers are refusing coverage, claiming the tests are unproven.

By Julie Henry • April 14, 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

Feds allow providers to dispute Open Payments

Payments that are disputed but not resolved within 15 days after the review period will be made public on June 30.

By Julie Henry • April 13, 2015

Brand familiarity, not star ratings, important in senior selection of BCBS Medicare plans

...but many consumers are also not aware that Blue Cross Blue Shield is not a single company.

By Julie Henry • April 13, 2015

UPMC warns it will cut off Highmark Medicare Advantage policyholders

Pennsylvania Gov. Tom Wolf called UPMC's decision "unacceptable." UPMC says Highmark owes it $143 million.

By Heather Caspi • April 10, 2015

Former VP files wrongful termination suit against Blue Shield of California

The executive says he was fired after blowing the whistle on financial improprieties.

By Heather Caspi • April 10, 2015

Minnesota: State-created insurer can keep records private

The court stated that the Minnesota Joint Underwriting Association "clearly and unambiguously is not a state agency."

By Heather Caspi • April 10, 2015

Aetna fined $1M for Part D network error

Aetna's complaint rates for Part D issues were five times those of all Part D parent organizations.

By Katie Bo Williams • April 9, 2015

Inside the controversial transition to a new Medicare Advantage risk-adjustment model

According to one report, the new model will result in a 23% reduction in plan payments for people with chronic kidney disease.

By Julie Henry • April 8, 2015

More insurers restrict morcellator use following FDA warning

"Plans are looking very seriously at this," AHIP president Karen Ignagni said. 

By Heather Caspi • April 8, 2015

Socioeconomic risk adjustment divides issuers, industry

A new RWJF report identified three challenges to payment reform—one of which is risk adjustment based on social determinants. 

By Heather Caspi • April 8, 2015

UnitedHealth to develop healthy vending machines

"We're trying to build startups and when we're in these adjacent spaces outside the core of our businesses, there's a lot of uncertainty," said UnitedHealth's VP of innovation.

By Heather Caspi • April 8, 2015

Report: Private exchange enrollment doubled in 2015

...but some analysts note that the new projected growth increments actually represent a slow-down from last year's report.

By Heather Caspi • April 8, 2015

Aetna launches campaign to target LGBT customers

"This is a pilot for us to really understand how people are making choices and thinking about purchasing healthcare," Aetna president Karen Rohan said.

By Heather Caspi • April 8, 2015

Will Nevada ban its state insurance exchange?

Two Republican-sponsored bills proposing to do just that are at odds with the state's governor and the exchange's 74,000 latest enrollees.

By Heather Caspi • April 8, 2015

Survey: Providers, vendors still unprepared for ICD-10

"Unless all industry segments make a dedicated effort to continue to move forward with their implementation efforts, there will be significant disruption on Oct. 1, 2015."

By Julie Henry • April 7, 2015

Medicare Advantage payments to rise in 2016

According to CMS, insurers will likely see overall revenue increase by about 3.25%. 

By Katie Bo Williams • April 6, 2015

Docs vote 'no confidence' in CHI, may open indepedent hospital

CHI's CEO said he believes leaving a healthcare system to open a stand-alone hospital would be a risky move for the disgruntled physicians. 

By Julie Henry • April 6, 2015

NJ insurers fight for change to out-of-network payment rules

Health insurers say existing rules requiring them to pay for emergency care at full charge rates are imposing heavy costs.

By Anne Zieger • April 2, 2015

Lackluster sign-ups in special enrollment period

Enrollment expert Charles Gaba estimated 220,000 would have signed up by March 29.

By Katie Bo Williams • April 2, 2015

UnitedHealthcare changes balance billing policy

Insurers are taking different approaches to out-of-network providers at in-network facilities.

By Heather Caspi • April 1, 2015

Colleges dumping student health insurance plans

As a result, some students may now be looking to the marketplace.

By Heather Caspi • April 1, 2015

Humana strategy bets big on narrow focus

The company is refining its offerings and leaving many to wonder what it will do next.

By Heather Caspi • April 1, 2015

Premera facing 5 breach lawsuits

All five suits include allegations that Premera failed to protect their customers' personal data leading up to the breach that impacted 11 million.

By Julie Henry • April 1, 2015

Aetna drops prices for HIV and AIDS drugs

Pressure from advocates is likely to push other insurers to follow suit.

By Heather Caspi • March 31, 2015