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CMS floats new network-adequacy requirements for Medicaid managed care programs
The Trump administration wants to give states more freedom to states overseeing Medicaid managed care and ease network-adequacy standards. Part of a proposed rule released by the Centers for Medicare & Medicaid Services (CMS) on Thursday would allow st…
Trump administration finalizes rules allowing religious and ‘moral’ objections to birth control coverage
A year after a court blocked a federal rule that created “moral” exemptions for birth control coverage, the Trump administration published new rules with similar “conscience protections” for employers.
Democrats take the House, giving the ACA a safety net for now
Democrats took control of the House of Representatives on Tuesday night, capturing 26 seats, while Republicans maintained a firm grip on the Senate, adding two seats.
CVS expects to close Aetna deal by Thanksgiving, floats ‘simpler’ PBM models
CVS Health said it expects to finalize its $69 billion acquisition of Aetna by Thanksgiving, noting that five states are close to approving the deal. Executives also hinted that the company is rethinking its PBM model to place a greater emphasis on dru…
8 results we’re watching on Election Day with big healthcare implications
From the four female doctors running for a seat in Congress to state ballot initiatives that could expand Medicaid, there’s plenty to pay attention to on Tuesday. Here’s what we’ll be keeping a close eye on as the election results come in.
EHR, PHR or something in between? UnitedHealth’s tech venture prompts skepticism and intrigue
Following a decade of health IT acquisitions, including Rally Health, UnitedHealth is poised to carve out its own space in the sector with the launch of a portable medical record. Industry experts say the new offering is likely a PHR-EHR mashup, but qu…
Envision doubles down on marketing push to rejoin UnitedHealthcare’s network
On the heels of a marketing blitz deflecting blame for surprise billing, physician staffing firm Envision is targeting employers and providers in another push to get back into UnitedHealthcare’s network.
Trump administration expands health reimbursement arrangements for marketplace coverage
The Trump administration plans to release a proposed rule on Tuesday morning allowing businesses to provide employees with money to purchase health insurance on the individual marketplace, according to senior officials. The change is expected to add 7 …
Healthcare.gov hit with data breach impacting 75,000 people
The federally run health insurance marketplace has been hit with a data breach impacting 75,000 individuals, the Centers for Medicare & Medicaid Services (CMS) disclosed on Friday.
UnitedHealth plans to roll out a new EHR offering for consumers and providers by the end of 2019
UnitedHealth CEO David Wichmann told investors during an earnings call on Tuesday that the company is preparing to launch a “fully individualized and fully portable” EHR to 50 million members by the end of next year. But it’s not clear how that product…
