Category: Health Insurance

Harvard Pilgrim CEO Eric Schultz resigns, citing behavior inconsistent with core values

The insurer is releasing little information as it names a new president.

Father’s And Son’s Injuries Lead To The Mother Of All Therapy Bills

A father and son suffered serious hand injuries nine days apart. They both needed surgery and lots of follow-up occupational therapy to rehab their hands. But insurance paid for just a fraction of those OT bills, and the family owed more than $8,500.

Amazon is buying online pharmacy business PillPack

Customers pay a monthly service fee, which is often covered by insurance companies and Medicare Part D plans.

Mayo Clinic, Blue Cross and Blue Shield of Minnesota announce five-year agreement

The agreement is structured to offer comprehensive clinical strategies that support the health of the population in southern Minnesota.

Podcast: KHN’s ‘What The Health?’ Justice Kennedy Retires. Now What?

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Alice Ollstein of Talking Points Memo and Margot Sanger-Katz of The New York Times discuss the possible impact of the retirement of Justice Anthony Kennedy on health issues. Also, in honor of our first anniversary, the panelists offer up their thoughts on the biggest health policy stories of the past year.

Healthcare organizations see greater optimism about value-based care, says KPMG poll

Healthcare organizations see greater optimism about value-based care, says KPMG poll.

Highmark saves $260 million in avoidable healthcare costs through PCP value-based program

The insurer rewards physicians in care coordination reimbursements.

GE to spin off its healthcare unit

Other GE businesses to downsize, reduce expenses and debt.

CMS approves first proposal for states to enter value-based Medicaid arrangements with drug-makers

CMS approves first state proposal for value-based drug contracts
But agency denies Massachusetts’ request to choose drugs for its Medicaid formulary.

Hospital bad debt rises in tandem with growing share of patient financial responsibility

The trend even includes Medicare bad debt, which results when hospitals exhaust efforts to collect from beneficiaries and must be paid back.