Category: Health Insurance

Nonprofit Dental Insurer Under Scrutiny For ‘Flagrant’ Spending

Delta Dental of California, with more than 36 million enrollees across the country, is looking to buy a stake in a for-profit insurance company based in Oregon. Consumer advocates are calling on regulators to scrutinize the transaction, arguing that it is just the latest questionable move by the nonprofit dental insurer whose corporate practices may be out of step with its tax-exempt status.

With Mom’s Green Card On The Line, Family Forgoes Autism Services For Citizen Child

A Texas girl needs autism treatment, but her immigrant mother is afraid of turning to Medicaid. As more U.S. children go without health coverage, advocates blame politics of intimidation.

Health and Human Services wants to end ‘middlemen kickbacks’ in drug pricing by targeting rebates

Under the proposal, drugs would be chosen that have the lowest price, not the ones that offer the highest rebate.

Podcast: KHN’s ‘What The Health?’ Live From D.C.: A Look Ahead At Health Policy In 2019

Congress and President Donald Trump are starting to wrestle with health policy issues, and health is already a key debate point in the early run-up to the 2020 Democratic presidential primaries. Might any major health policy legislation be passed and signed this year? Joanne Kenen of Politico, Anna Edney of Bloomberg News and Kimberly Leonard of The Washington Examiner, along with special guest Tom Miller of the American Enterprise Institute, join KHN’s Julie Rovner to discuss these issues and take questions from a live studio audience.

Aetna to pay $935,000 in settlement with California in envelope data breach case

The settlement also requires Aetna to implement mailing procedures that protect the confidentiality of medical information and complete a yearly compliance assessment.

Drop in hospital-acquired conditions results in $7.7 billion in savings for providers

CMS had hoped the threat of penalties would focus more attention on improving care quality, but most of the changes have been to coding practices.

Anthem accelerates start for pharmacy benefit manager IngenioRX

Cigna’s acquisition of current pharmacy benefit manager Express Scripts helped spur the early launch.

Are healthcare jobs safe from AI? More so than many might think

No occupation will be unaffected by the technology, but healthcare will be affected less than other industries, owing much to its inherent complexity.

Avera taps pharmacogenomics to help providers choose the right medicine

The system’s pharmacy team conducts a targeted gene panel for medication metabolism for psychiatry, pain and oncology, among other conditions.

Medicare Advantage revenue expected to increase 1.59 percent under proposed rate changes

For the first time, MA plans may lower cost sharing for drugs such as Naloxone, to treat opioid overdoses.