Are subsidies living up to expectations?

With the legal controversry resolved, talk about subsidies is turning toward their value.

By Heather Caspi • July 1, 2015

Zenefits to scale up workforce with 700 new hires

The controversial company has said that it intends to eliminate insurance brokers, and it's racing to keep up with demand. 

By Heather Caspi • July 1, 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

Survey: Are workplace wellness programs a fad or here to stay?

New data from the Society for Human Resource Management revealed an increase from 2014 to 2015 in wellness benefits.

By Heather Caspi • July 1, 2015

How 3 providers are preparing for a possible Big 5 merger

Execs from UnityPoint, Bon Secours and Saint Francis weigh in. 

By Katie Bo Williams • July 1, 2015

Same-sex marriage ruling raises questions for employee benefits

With gay marriage now legal, what does that mean for domestic partnership benefits?

By Heather Caspi • June 30, 2015

Will antitrust concerns threaten Big 5 consolidation?

The Department of Justice is prepared to take a close look at a variety of deals under consideration. 

By Heather Caspi • June 30, 2015

Supreme Court takes on health data sharing case

This is an important case that could result in a number of burdensome state reporting requirements—beyond ERISA itself—for plan administrators.

By Julie Henry • June 30, 2015

Why is UnitedHealth leaving AHIP?

One expert suggests that United is the "800-pound gorilla" in the room and it simply doesn't need AHIP anymore. 

By Julie Henry • June 29, 2015

Sacred Heart and Florida Blue sign new contract

The two ended a contract dispute just ahead of their July 1 deadline.

By Heather Caspi • June 26, 2015

What does 'private exchange' actually mean?

A new report sheds light on why adoption estimates are so varied.

By Heather Caspi • June 24, 2015

New York poised to pass health coverage law for pregnancy

The state is expected to become the first to make pregnancy a qualifying life event. Will California follow suit?

By Heather Caspi • June 24, 2015

Massachusetts gets mixed results in effort to reduce readmissions

Readmissions among individuals covered by public payers comprise 81% of all readmissions in the state.

By Heather Caspi • June 24, 2015

UnitedHealth to leave AHIP

This is a huge statement that raises more questions than it answers. Right now, UnitedHealth's decision to leave is a mystery.

By Heather Caspi • June 24, 2015

Salem Health, United Healthcare resolve contract dispute

A disruption to in-network coverage would have impacted an estimated 10,000 United Healthcare customers.

By Heather Caspi • June 23, 2015

Aetna makes bid for Humana; companies quiet

Don't get too excited just yet, experts say.

By Heather Caspi • June 23, 2015

What Trinity, Ascension are doing to prepare for King fallout

The possible loss of billions in subsidies is forcing providers to strategize ahead, creating sometimes-controversial solutions.

By Heather Caspi • June 23, 2015

Bills would require parity for IV and oral chemo coverage

According to AHIP, such legislation would result in a commensurate rise in premiums.

By Heather Caspi • June 22, 2015

PA asks: Are insurance navigators sufficiently regulated?

One expert says: Navigators are entrusted with PHI, so they should be held to the same security standard as other insurance professionals. 

By Heather Caspi • June 22, 2015

Cigna rejects public Anthem offer for $47B

One of the problems: Anthem wants Joe Swedish to act as president, CEO, chairman and "head of integration" for the combined companies.

By Katie Bo Williams • June 22, 2015

CMS announces boost to reinsurance rate—to 100%

Several insurers have already calculated their expected payments from the program and assumed a 100% reinsurance rate.

By Heather Caspi • June 19, 2015

Investors advise caution as speculation around Big Five mergers grows

"I just don't get the feeling that there is [a] thoughtful, disciplined, controlled process, and that concerns me," said one analyst. 

By Katie Bo Williams , Nina Flanagan • June 18, 2015

Are insurers in a 'race to the bottom' to adopt adverse tiering?

When deciding whether to utilize the controversial practice, insurers may be between a rock and a hard place.

By Heather Caspi • June 17, 2015

Meridian growth prompts massive hiring spree

The health plan anticipates tripling its revenue—to $3 billion—by the end of this year. 

By Heather Caspi • June 17, 2015

UPMC Health goes after Highmark customer group

The group's no-bid contract "deprives members of choice in their healthcare," UPMC says. 

By Heather Caspi • June 17, 2015

Anthem surpasses UnitedHealth as largest US health plan, report says

UnitedHealth dropped out of the top slot for the first time in three years—but the results depend on whether Medigap is counted.

By Heather Caspi • June 17, 2015