The deal between Centene and RxAdvance is the latest example of insurers buying or investing in PBMs to gain more control over pharmaceutical costs.
The paychecks of most publicly traded health insurer CEOs increased in 2017. Companies' preliminary proxy statements also give a first look at what recently hired CEOs' pay looks like.
Hospitals fear UnitedHealth's new emergency department payment policy, which comes on the heel's of rival insurer Anthem's controversial ED policy, could squeeze providers' revenue.
Sens. Benjamin Cardin and Claire McCaskill called on HHS Secretary Alex Azar and Labor Secretary Alexander Costa to look into whether Anthem's emergency room policy violates federal law.
Insurer and provider groups railed against the CMS' proposal to use more patient-encounter data for Medicare Advantage plans' risk scores in 2019, but supported its suggestion to account for patients' mental health and substance abuse disorders.
St. Louis-based Centene Corp. will buy primary-care provider Community Medical Group. The move is the latest in a string of deals pairing insurers with healthcare providers.
A federal judge ruled that HHS couldn't use statewide average premiums to come up with its risk-adjustment formula because the agency wrongly assumed the ACA required the program to be budget-neutral. However, most of the co-op's suit was dismissed.
While Republican leaders in Idaho and other states look to allow insurers to offer leaner, health risk-related plans to make coverage more affordable, they have failed to take another path that could help bring down premiums while maintaining benefits and protections.
Indianapolis-based Anthem said it has made several exceptions to its controversial ER program. But providers argue the changes are not enough to mitigate the harm Anthem's policy is causing patients.
Molina Healthcare recorded another loss in the fourth quarter of 2017 as the insurer's corporate restructuring plan and unpaid federal cost-sharing reduction subsidies ate away at its bottom line.
The healthcare industry has had its share of turmoil in recent years. But news of the Aetna/CVS Health merger in October set a new standard for disruption—and it signaled we'd see more nontraditional alliances.
The Louisville, Ky.-based insurer saw revenue grow in the fourth quarter, fueled by higher Medicare Advantage premium revenue. But its full-year 2017 revenue fell after it slashed enrollment in individual plans.