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Insurer group urges CMS Administrator Seema Verma to reconsider pass-through funding for non-ACA plans

America’s Health Insurance Plans wants CMS to reissue the guidance on funding waivers through formal rulemaking.

CVS and Aetna: Judge agrees to 4 steps to keep retail pharmacy and PBM separate during merger review

Judge Leon’s order aligns closely with a plan CVS Health proposed to follow while the $69 billion merger is under review.

CMS finalizes rule forcing ACOs to take on more risk

Agency also releases results of Next Generation, the ACO that takes on the most risk for Medicare payments.

OptumServe awarded two contracts with the Department of Veterans Affairs

Company will provide telehealth lifestyle coaching and disability exams to veterans.

CMS releases 2020 Medicare Advantage risk adjustment payment model

Model would reflect the number of conditions and add categories for mental health, substance use disorder, and chronic kidney disease.

CVS Health tells judge a monitor is not necessary during review of Aetna merger

Federal Judge Richard Leon suggested a monitor oversee CVS Health and Aetna to ensure the businesses were kept separate while the merger was under review.

Affordable Care Act enrollment surges in final week

Declining consumer numbers and a ruling in Texas striking down the ACA threatened to a relatively stable market this year.

Cigna, Express Scripts merger to close Thursday

The integration of insurer and pharmacy benefit manager follows that of CVS Health and Aetna.

Medicare diabetes patients file class action lawsuit against HHS Secretary Alex Azar

Diabetic patients on Medicare have filed a class action lawsuit against …

What’s next for the Affordable Care Act

Democratic attorneys general led by California have filed a motion to allow for an immediate appeal of the decision to the Fifth Circuit Court of Appeals in Texas.