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.
If the federal government stops payments to insurers for cost-sharing subsidies under the Affordable Care Act, it will pay more for premiums, according to a new study.
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.
Wisconsin last week unveiled plans to overhaul Medicaid by requiring members to pay insurance premiums and undergo a drug screening.
Healthcare executives have hoped the strategy of integrating hospitals, doctors and other care settings with insurance under one roof will lower spending and improve care coordination—a strategy hospitals tested a couple decades ago, but it ultimately failed for many.