Category Archive: FierceHealthPayer

Centene’s promotion of Cynthia Brinkley stirs speculation that she could be in line for CEO role

Centene, the Medicaid managed care giant that has also expanded its role on the ACA exchanges, has promoted Cynthia Brinkley to the role of president and chief operating officer. To one industry analyst, “this is the first clear succession indication to CEO Michael Neidorff from the company.”

6 attributes that make for a high-value primary care practice

Physician practices that are able to deliver high-quality care at the most affordable cost have some common attributes, according to a new study. Researchers at Stanford University identified six factors that were statistically significant in defining …

Healthcare.gov signups total nearly 1.5M in first 11 days of open enrollment

In the second week of the 2017 open enrollment period, more than 876,000 people enrolled in Affordable Care Act exchange plans on Healthcare.gov. Combined with the more than 600,000 people who enrolled in the first four days of the 2018 signup season, that’s a total of nearly 1.5 million for the first 11 days—surpassing the 12-day total from last year.

Pressure builds to cut Medicare patients in on prescription deals

Medicare officials have been discussing a rule change that would give beneficiaries a share of the secretive fees and discounts that are negotiated for prescription drugs.

Insurer competition dips on ACA exchanges

Though no areas are lacking an Affordable Care Act exchange insurer for 2018, competition in the individual marketplaces has still declined. On average, 3.5 insurance companies are participating in each state’s ACA marketplace in 2018, down from 4.3 in 2017, according to a new analysis.

The fallout from Price’s private jet use continues at HHS

If confirmed as the next head of the Department of Human and Health Services, Alex Azar may bring stability to an agency still trying to regain its footing since the resignation of Tom Price, M.D. Price stepped down after a Politico investigation revea…

Safety net health plans launch campaign to pressure Congress into renewing CHIP funding

With time running out until states exhaust their funding for the Children’s Health Insurance Program, a trade group for safety-net health plans has launched a campaign aimed at pressuring Congress to act. The Association for Community Affiliated Plans said it started the campaign to communicate the consequences of letting the insurance program lapse.

States ask judge to press pause on new birth-control coverage exemptions

Five states have fired the opening salvo in a lawsuit challenging new Trump administration regulations that chip away at the Affordable Care Act’s birth control coverage mandate. The states—California, New York, Delaware, Maryland and Virginia—asked the U.S. District Court for the Northern District of California for an injunction to halt the implementation of the rules.

How insurers, regulators made the Affordable Care Act’s ‘bare county’ problem disappear

While the debate over the Affordable Care Act raged on Capitol Hill, health insurers and state regulators quietly forged compromises that led carriers to cover all the “bare counties” on the law’s signature exchanges. Now, new research from the Urban Institute details how they did it.

Individual mandate repeal missing from early Senate tax bill, unlikely to be added to House bill

The Senate version of the GOP tax bill does not include a repeal of the Affordable Care Act’s individual mandate, and it’s not looking likely to make it into the House version, either. But some conservatives said that adding such a provision into the Senate’s draft is still under discussion.

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