Payer: Page
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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 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/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 -
Customers pressure Blue Shield of CA to lower rates
Blue Shield says it plans to remain a nonprofit, but has already lost its state income tax exemption.
By Julie Henry • March 31, 2015 -
Insurers show 'substantial' improvement in medical loss ratio compliance
MLR rebates dropped from $1 billion to $325 million in three years.
By Julie Henry • March 30, 2015 -
UnitedHealth to buy pharmacy benefits manager for $12.8B
"You have to have scale," said Catamaran executive Mark Thierer. "This makes the business more competitive overall."
By Katie Bo Williams • March 30, 2015 -
CO-OPs reach 1 million members
Analysis indicates CO-OPs are having an impact beyond their enrollment numbers—specifically on market premiums.
By Heather Caspi • March 27, 2015 -
UnitedHealthcare considers split with two Connecticut hospitals
A contract dispute appears likely to run up against an April 14 deadline.
By Heather Caspi • March 27, 2015 -
Highmark delays paying claims, blames state
The insurer argues that a 2014 consent decree created confusion over when Highmark members can be treated at UPMC at in-network rates.
By Anne Zieger • March 26, 2015 -
Cigna and SCAN partner for Medicare Advantage
In day-to-day terms, SCAN will help Cigna move Medicare beneficiaries in California over to Medicare Advantage.
By Anne Zieger • March 26, 2015 -
UPMC makes 'significant investment' in tech company High Fidelity
The Health Fidelity risk adjustment solution was deployed at UPMC Health Plan last year.
By Heather Caspi • March 25, 2015 -
Study: Consumer-driven health plans contain costs
But will reductions be sustained in the long-term?
By Heather Caspi • March 25, 2015 -
Federal employees to get self-plus-one option in 2016
The proposed rule will likely raise premiums for the family plan.
By Heather Caspi • March 25, 2015 -
Deep Dive
Execs weigh in: 4 ongoing trends prompted by the ACA
Industry sales and M&A are just one way the Affordable Care Act, which turns 5 years old this week, continues to impact payers.
By Heather Caspi • March 25, 2015 -
Blue Shield of California loses bid for secrecy in $1.25B acquisition
The insurer wanted to keep quiet on the amount it is paying for Care1st.
By Heather Caspi • March 25, 2015 -
Diabetes diagnoses spike in Medicaid expansion states
A new study suggests that expansion of coverage to vulnerable groups can impact population health and the cost of chronic disease management.
By Heather Caspi • March 24, 2015 -
Humana to sell Concentra for $1B
"...Concentra's operations did not ultimately align with Humana's strategy as well as we had originally anticipated," said CEO Bruce Broussard.
By Katie Bo Williams • March 23, 2015 -
Audit warned Premera of vulnerabilities before breach
The company received the audit just weeks ahead of the cyberattack.
By Heather Caspi • March 20, 2015 -
Anthem yet to notify 50M customers of cyberattack
Key senators are strongly criticizing the company for the delay.
By Heather Caspi • March 20, 2015 -
Blue Cross, WebMD partner for digital health
"Employers know the value of wellness programs, and how the right program can... help better manage overall health care costs," Blue Cross says.
By Anne Zieger • March 19, 2015 -
Blue Shield of California loses tax-exempt status
The insurer has faced increased criticism over its enormous financial reserves.
By Katie Bo Williams • March 18, 2015 -
Starwood Hotels selects private exchange to serve 26,500 employees
The company joins a number of other major employers that have also transitioned to private exchanges over the last few years.
By Heather Caspi • March 18, 2015 -
Deep Dive
The future of health insurance retail stores
"This shift toward a consumer-centric model is going... to increase demand in brick-and-mortar retail stores," said one expert.
By Heather Caspi • March 18, 2015 -
Feds keep wraparound coverage essentially as-is
The final rule clarifies the allowable roles of excepted benefits.
By Heather Caspi • March 18, 2015 -
Premera Blue Cross breach exposes 11M
Healthcare security expert Dave Kennedy told Reuters that this is the largest breach to date involving medical information.
By Katie Bo Williams • March 17, 2015 -
Covenant projects $1.8M in savings using data-driven health plans
The nonprofit is using MedeAnalytics' Population Health solution to gain insights into its 7,000 employees and beneficiaries.
By Heather Caspi • March 17, 2015
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