Payer: Page 49
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CMS aims to mandate state quality reporting for Medicaid, CHIP
The proposed rule would require states to report on quality measurements for the two growing programs for the first time.
By Susan Kelly • Aug. 22, 2022 -
Employer health costs expected to rise 6.5% next year, report finds
The rise is predicted to outpace the prior increase of 3.7% growth in employer costs between 2021 and 2022. Though it is expected to remain below the Consumer Price Index, a figure reflecting inflation.
By Hailey Mensik • Aug. 18, 2022 -
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OpinionThe promise of payer transparency
A new price transparency rule lends itself to creating a more equitable, cost-effective market for medical coverage, Clarify Health chief analytics and privacy officer Niall Brennan argues.
By Niall Brennan • Aug. 17, 2022 -
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Slowing economy could ding insurers, Moody’s says
A slowdown in the economy may result in job losses and clip commercial enrollment, which would push down a key earnings driver for insurers, Moody’s analysts said in a report sizing up challenges ahead.
By Samantha Liss • Aug. 17, 2022 -
Retrieved from National Union of Healthcare Workers on August 17, 2022
Kaiser cancels over a thousand appointments amid clinician strike
About 1,600 follow-up therapy appointments have been canceled so far this week, according to a statement from the health system.
By Hailey Mensik • Aug. 17, 2022 -
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Payers, hospitals pleased as Biden signs sweeping health bill into law
The three-year continuation of enhanced subsidies for Affordable Care Act plans should help millions afford coverage and create some revenue stability for payers and hospitals in a tricky operational environment.
By Rebecca Pifer Parduhn • Aug. 17, 2022 -
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FTC tells states to avoid shielding hospital mergers from antitrust enforcement
A report released Monday compiles research that shows arrangements, called Certificates of Public Advantage, result in higher prices, lower quality of care and lower wage growth for employees.
By Samantha Liss • Aug. 16, 2022 -
Cigna, Oscar to offer small business plans in Philadelphia
Insurtech Oscar is pushing further into the small employer market through its partnership with Cigna while it holds off on adding more full-service agreements.
By Susan Kelly • Aug. 16, 2022 -
Humana inks deal to expand in Medicaid managed care
The payer acquired Wisconsin-based Inclusa on the heels of its $2.8 billion divestiture of Kindred at Home's hospice and personal care units.
By Susan Kelly • Aug. 15, 2022 -
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Cardinal Health CFO will replace CEO Mike Kaufmann
Jason Hollar, who joined Cardinal as CFO in 2020, will lead the healthcare distributor starting in September.
By Samantha Liss • Aug. 15, 2022 -
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House passes bill extending ACA subsidies, allowing Medicare drug price negotiations
The bill, which passed on party lines in a 220-207 vote, will now head to President Joe Biden’s desk. He is expected to sign it into law this week.
By Sydney Halleman • Aug. 15, 2022 -
Courtesy of Oscar Health
Oscar Health pauses full-service tech deals amid implementation woes
The decision to halt new technology agreements doesn’t change Oscar’s financial expectations for 2022, as the insurtech plans to reallocate resources to focus on achieving profitability in its insurance operations next year.
By Rebecca Pifer Parduhn • Aug. 12, 2022 -
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Surprise BillingNew York judge dismisses surgeon’s lawsuit challenging surprise billing law
The lawsuit threatened to again expose millions of patients to surprise out-of-network bills.
By Samantha Liss • Aug. 11, 2022 -
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Scan Health Plan makes push into Texas
The Medicare Advantage insurer will cover seniors in a total of four states, pending regulatory approval.
By Samantha Liss • Aug. 10, 2022 -
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Profits climb for major insurers as hospital volumes drop in Q2
All but two of the seven largest insurers saw profits climb in the second quarter as hospital operators continued to struggle with weak volumes and higher labor costs amid record-high inflation.
By Samantha Liss • Aug. 9, 2022 -
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Kaiser Permanente posts Q2 net loss of $1.3B
The Oakland, California-based integrated health system attributed the setback in its quarterly results to market investments.
By Susan Kelly • Aug. 9, 2022 -
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Clover Health’s Toy to step up as CEO as insurtech bolsters revenue
In a call with investors, incoming chief executive Andrew Toy said the path to profitability is “a huge focus” for Clover, and pointed to shrinking its medical loss ratio and controlling operating expense growth as key strategies.
By Rebecca Pifer Parduhn • Aug. 9, 2022 -
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Senate passes bill extending ACA subsidies, adding Medicare price negotiations
The Inflation Reduction Act looked dead just weeks ago until Sen. Joe Manchin, D-W.Va., announced late last month that he had successfully negotiated with Democrats to pass it.
By Sydney Halleman • Aug. 8, 2022 -
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Cigna’s Q2 profit climbs to $1.6B as fewer patients seek care
The payer raised its revenue and operating income targets for the year as a result of the quarterly performance.
By Samantha Liss • Aug. 4, 2022 -
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CVS could look to regional buys as it plans primary care acquisitions
“We can’t be in ... primary care without M&A. We’ve been very clear about that,” CEO Karen Lynch said during an earnings call Wednesday.
By Sydney Halleman • Aug. 3, 2022 -
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Number of uninsured Americans falls to all-time low
Policy experts are worried, however, that progress on coverage expansion will be threatened when a moratorium on Medicaid disenrollment ends.
By Susan Kelly • Aug. 3, 2022 -
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CVS beats Q2 expectations, Aetna revenue rises nearly 11%
The company raised its full-year guidance despite a $77 million decrease in adjusted operating income, primarily due to declines in its retail segment.
By Sydney Halleman • Aug. 3, 2022 -
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Medicare Advantage plans make inflated dialysis payments, study says
Research published in Health Affairs found large chains in the consolidated dialysis sector have the market power to negotiate higher MA reimbursement.
By Susan Kelly • Aug. 1, 2022 -
CMS calls for public input to improve Medicare Advantage
The agency wants feedback from a variety of voices on how it can strengthen the popular but increasingly controversial program.
By Susan Kelly • Aug. 1, 2022 -
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Molina’s profit rises to $248M on higher Q2 membership
The insurer’s premium revenue increased 18% in the second quarter compared with the prior-year period as the payer saw membership increase 9%.
By Samantha Liss • July 29, 2022
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