Category Archive: Financial Management

Aetna exec talks Humana merger, PBM plans, divestitures

At Goldman Sachs’ annual healthcare conference this week, Aetna President Karen Lynch offered a cautious peek behind the scenes of the company’s closely watched acquisition of Aetna.

 

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Researchers defend finding that wasted cancer drugs cost payers, patients

Responding to criticism of their original analysis that found smaller vials of cancer drugs would save patients and payers as much as $3 billion, researchers have penned a  Health Affairs blog post to defend their claims.

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Paucity of drug price regulation an opportunity for insurers’ pharmacy benefit managers

Though the government has been slow to regulate drug prices, analysts say there’s a silver lining for insurers such as UnitedHealth that have in-house pharmacy benefit managers, according to an article from The Street.

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Federal and private insurers take on larger portion of mental health spending

Private and federal insurers have gradually absorbed a bigger chunk of spending on mental health services over the last three decades even as spending on substance abuse treatment has remained steady, according to a study published in Health …

UnitedHealth to compete in just three ACA exchanges in 2017

UnitedHealthcare, in an effort to cut its losses in the individual market, will only compete in three states’ Affordable Care Act marketplaces in 2017: New York, Nevada and Virginia, according to the Minneapolis Star Tribune.

 

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Aetna’s $13B bond sale seen as good sign for merger with Humana

In what some see as a positive sign for a major merger of two health insurance companies, Aetna has sold $13 billion of new bonds to fund its purchase of Humana, the Wall Street Journal reports.

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Insurer-driven price negotiation makes dent in cancer care cost growth

Though the global market for cancer treatments rose to $107 billion in 2015, health insurers’ efforts to curtail rising costs are having an effect, according to a new report from IMS Health.

 

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Humana exec outlines best practices for bundled payment models

As health insurers increasingly embrace bundled payment models, there are a few best practices they should keep in mind, according to Chip Howard, vice president of payment innovation at Humana, who spoke with HealthPayerIntelligence about the insurer’s experience with such initiatives. 

 

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BCBS of North Carolina sues feds over risk corridor payments

Blue Cross Blue Shield of North Carolina is suing the federal government for more than $147 million in risk corridor payments that never materialized, making it the second insurer to file such a claim in the past month.

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States save money with new Medicaid policies for incarcerated population

Three states’ initiatives to connect the justice-involved population to Medicaid coverage have produced both savings and administrative efficiencies for their Medicaid programs, according to the Kaiser Family Foundation.

 

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