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Aetna Q2 earnings were steady, but its membership base is changing
Enrollment in commercial plans fell below 4 million, but enrollment in Medicare products is on the rise, the company reported Thursday.
Junk plans or expanded choice? Short-term plans elicit a range of reactions
Viable alternatives or junk plans? Whether the final short-term plan rule is a good thing depends on who you ask.
Humana emphasizes commitment to clinical programs in Q2 earnings
The insurer, which acquired two providers and launched a Walgreens-based clinic last month alone, hinted that moves like these can advance value-based care.
Azar: Short-term plans ‘absolutely not’ an attempt to destabilize the individual market
While the plans will advance consumer choice, most Exchange enrollees will not leave the individual market, HHS Secretary Alex Azar told reporters.
Philly fell victim to the opioid epidemic. Its largest insurer is trying to save it
In this exclusive interview, Independence Blue Cross’s CMO explains why the opioid crisis in the Philadelphia area got so bad and what his organization is doing to prevent and treat opioid use disorder now.
Centene plans Medicare Advantage joint venture with Ascension
The announcement followed two other recent acquisitions by the insurer to boost its MA population, as well as favorable growth in Medicare overall this past quarter.
12 attorneys general are suing the Trump administration over its association health plan rule. Here’s what you need to know
In addition to provisions written in the Affordable Care Act and the Employment Retirement Income Security Act, the complaint alleges the Department of Labor violated fundamental legal concepts, including separation of powers and legislative intent.
GAO audit finds CMS oversight of $171B in Medicaid managed care payments lacking
Despite the program integrity risks associated with managed care organizations, CMS’s oversight of the Medicaid program has focused disproportionately on fee-for-service arrangements, GAO says.
GAO audit finds CMS oversight of $171B in Medicaid managed care payments lacking
Despite the program integrity risks associated with managed care organizations, CMS’s oversight of the Medicaid program has focused disproportionately on fee-for-service arrangements, GAO says.
Payer Roundup—As midterms approach, pre-existing conditions are a top healthcare issue for voters
A recent poll asked voters about several hot-button issues around healthcare. Plus, House Democrats have set their sights on drug prices, and Mainers eligible for Medicaid under expansion begin to enroll in coverage as they await a state Supreme Court …
