Healthcare providers and insurers are flocking to consultants for help navigating the uncertainty surrounding the GOP's push to repeal the Affordable Care Act and plan for possible outcomes.
The CMS is pushing the rate-filing deadline to Sept. 5 to give insurers time to adjust their rates to account for changes to the ACA risk adjustment formula.
Dr. Patrick Conway, who has served with the CMS in various roles since 2011, will take over from the health plan's president and CEO, Brad Wilson, who is retiring.
Small health insurers and the few remaining co-op plans were again sacked with large charges under the Affordable Care Act's risk-adjustment program. Blues plans received the largest payouts.
The St. Louis-based insurer is one of a few health plans moving into markets that other insurers ditched because of financial losses and regulatory uncertainty over healthcare reform.
A Blue Cross and Blue Shield Association report found that the number of members diagnosed with opioid use disorder has spiked 493% in recent years, but treatment for those members lags.
The GOP bill to repeal and replace the Affordable Care Act would have both positives and negatives for providers and health plans.
Anthem has been hinting for months that it may pull out of some Affordable Care Act exchanges, but Ohio marks its first retreat.
Healthcare CEOs are hiding behind industry lobbying groups instead of publicly using their power to push for changes in the Republicans' healthcare reform bill.
Aetna's initiative aims to reduce the amount of powerful opioid prescriptions written by dentists and oral maxillofacial surgeons.
National insurer Anthem's profit soared in the first quarter thanks to membership growth and higher premiums, as it continues to battle to acquire its rival Cigna.
Challenges in Illinois are a cautionary tale for the rest of the country and highlight how important it is for Medicaid managed-care plans to work effectively with providers.