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UnitedHealthcare loses New York risk-adjustment battle

UnitedHealthcare loses New York risk-adjustment battle

By Shelby Livingston  |  August 13, 2018

UnitedHealthcare may be required to transfer millions of dollars to New York insurers that enrolled high-cost members in their plans in 2017, based on a federal judge's decision.

How states are defining essential health benefits

How states are defining essential health benefits

By Shelby Livingston  |  July 24, 2018

Alabama and Illinois are the first states to take advantage of new flexibility to define the essential health benefits that certain insurers must provide. Their approaches show how some seek to bolster their ACA markets while others weaken them.

UnitedHealth could drop Northwestern docs from network

UnitedHealth could drop Northwestern docs from network

By Steven R. Strahler  |  July 24, 2018

UnitedHealth Group is warning insurance plan members that they could lose in-network status with their Northwestern physicians after this year. The insurer and Chicago-area based Northwestern Medical Group each said they were trying to hammer out a new contract.

California ACA rates to rise almost 9% next year

California ACA rates to rise almost 9% next year

By Shelby Livingston  |  July 19, 2018

The 1.4 million Californians who buy coverage on the state's individual insurance exchange will pay more in 2019 in part because the federal government zeroed out the federal penalty for not enrolling in coverage.

CFO Roundtable: What keeps CFOs up at night? Rising labor costs, for starters

CFO Roundtable: What keeps CFOs up at night? Rising labor costs, for starters

By Tara Bannow  |  July 07, 2018

It's no surprise that labor costs are top of mind for chief financial officers. But with historically low unemployment numbers, that budget line item looms even larger as organizations try to figure out new strategies to not just recruit, but, more importantly, retain workers.

Why for-profit insurers are scoping out Minnesota

Why for-profit insurers are scoping out Minnesota

By Shelby Livingston  |  July 06, 2018

To some, the influx of more for-profit plans in Minnesota adds welcome competition to an already competitive market. But others are wary and cautiously watching to see if the profit motive will endanger patients.

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