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How a North Carolina insurer posted what it pays providers on the Web

How a North Carolina insurer posted what it pays providers on the Web

By Bob Herman  |  August 29, 2015

In January, Blue Cross and Blue Shield of North Carolina launched an online site that allows the public to see how much it pays particular providers for certain services. An unexpected group pushed BCBS of North Carolina to expand its price transparency efforts—physicians.

Some Advantage plans lose members

Some Advantage plans lose members

By Bob Herman  |  August 29, 2015

Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.

Blog: Prisoners have skin in the game, too

By Harris Meyer  |  August 28, 2015

Some experts are questioning the fairness and wisdom of charging inmates in prisons and jails co-payments for healthcare services, a practice now in 38 states.

Insurers begin to review coverage of costly cholesterol drugs

By Bob Herman  |  August 28, 2015

Now that the Food and Drug Administration has given the OK to two pricey drugs that treat high cholesterol, health insurers and pharmacy benefit managers are evaluating if one drug should receive preferred coverage over the other.

Four insurers win Iowa Medicaid contracts

By Bob Herman  |  August 22, 2015

Iowa's Department of Human Services has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.

Data Points for Aug. 24, 2015

Data Points for Aug. 24, 2015

By Modern Healthcare  |  August 22, 2015

Data Points for the week of Aug. 24, 2015, covered the following topics: Insulin drug Humulin, physicians accepting Medicaid patients, Medicare patient expenditures, postponing care because of the cost and babies born through reproductive technology

Finalists chosen for Marketing IMPACT Awards

By Modern Healthcare  |  August 15, 2015

Modern Healthcare and sister publication Advertising Age are proud to announce the finalists in the second annual Healthcare Marketing IMPACT Awards competition.

Closer provider-insurer ties bring new challenges

Closer provider-insurer ties bring new challenges

By Joseph Conn  |  August 15, 2015

Increased collaboration between providers and payers is inevitable, but that doesn't mean the future financial interests of these oft-warring parties will align, say healthcare leaders surveyed in Modern Healthcare's third-quarter CEO Power Panel poll.

A suitor turned grudging merger target

By Bob Herman  |  August 15, 2015

Behind the scenes of the months-long Humana acquisition drama, Aetna CEO Mark Bertolini bested Cigna Corp. CEO David Cordani at every turn. Cordani wound up getting very little of what he wanted, including a top job.

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