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Health insurers look for ways to cut costs for back surgery

Health insurers look for ways to cut costs for back surgery

By Jay Greene  |  August 27, 2018

Back surgery is one of the most overused types of surgery and back pain is the most common ailment that sends patients to doctors, chiropractors and physical therapists. More than $90 billion a year is spent on low-back pain alone.

More health insurers score rating upgrades in first half of 2018

More health insurers score rating upgrades in first half of 2018

By Shelby Livingston  |  August 22, 2018

Credit rating agency A.M. Best upgraded ratings of more health insurers in the first half of 2018 than in the same period last year, as companies reported improved operating results in ACA exchanges and continued to turn a profit in other markets.

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.

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