Category: FierceMarkets

Oscar files to expand ACA exchange footprint in 2019

Despite proposed double-digit premium hikes for ACA plans in 2019, one insurer is taking a deeper dive into the marketplace and expanding its footprint to several more states.

Cigna announces goal to cut customers’ opioid overdoses by 25% by end of 2021

Health insurer Cigna wants to cut the number of opioid overdoses among its customers by 25% within three years. Thursday’s announcement comes just a few months after the insurer reported it successfully slashed customer opioid use by 25%. Here’s how they plan to target the problem.

AHIP18: Health leaders tie socioeconomic disparity, personal responsibility to preventable diseases

Panelists at the 2018 AHIP Institute & Expo in San Diego say much more can be done to prevent chronic diseases, including incentivizing personal responsibility and addressing socioeconomic disparity.

‘Holy cow’ moment changes how Montana’s state health plan does business

In order to help curb ever-increasing healthcare costs, some states have had to change things up, including how they pay for hospital services. In Montana, a reimbursement overhaul appears to be working.

What the Amazon, JPMorgan Chase, Berkshire Hathaway venture’s CEO pick says about their plans—and the industry

In January, the three business titans shook the healthcare world with news of a new employee healthcare venture. Now, they have named the person who will lead those efforts.

Amazon, Berkshire Hathaway and JPMorgan Chase appoint CEO for healthcare venture

Atul Gawande, M.D., was officially named chief executive officer of the three-way partnership’s newly formed company to address U.S. employee healthcare.

MedPAC: Medicare’s readmission program not causing increase in observation stays 

CMS’ readmissions reduction program isn’t responsible for an uptick in observation stays, according to MedPAC. The group also reiterated its support for cutting payments to free-standing emergency departments.

National Business Group on Health issues new recommendations for pushing PBMs on opioids

The National Business Group on Health recommended that employers discuss opioid use for pain management with their health plans and pharmacy benefit managers.

Conservatives unveil ACA repeal plan as bipartisan governors rally around pre-existing condition protections

Only months before the critical 2018 midterm elections, conservatives are pushing for yet another attempt at repealing the Affordable Care Act, and the new proposal looks very similar to last year’s Graham-Cassidy bill.

As Medicaid costs soar, states try a new approach

In order to control ever-increasing Medicaid spending, some states are taking a unique step: addressing underlying social issues related to health, such as homelessness, lack of transportation and poor nutrition.