The potential growth of short-term health plans worries health policy analysts, state regulators and major insurance trade groups, who predict such plans will saddle Obamacare plans with a sicker group of customers.
Reporters Tara Bannow and Shelby Livingston offer observations from Day 2 of the J.P. Morgan Healthcare Conference.
If Congress fails to appropriate cost-sharing reduction payments, insurers may have to pay back their 2017 surplus—even if they have already spent it on enrollees.
Loss of the individual mandate, loosened regulation of short-term plans feared by healthcare industry
The tax bill's repeal of the Affordable Care Act individual mandate combined with the expansion of short-term health plans could deliver a severe blow to the ACA-regulated individual market serving nearly 20 million Americans.
A Deloitte analysis of health plans' fully insured books of business found that insurers haven't benefited financially from the Affordable Care Act, despite millions of new enrollees.
The Rauner administration in Illinois has finalized contracts with seven private health insurers that could cost the state up to $15 billion a year.
Centene Corp. has named Cynthia Brinkley as president and COO. Brinkley, who is relative newcomer to the healthcare industry, was responsible for the integration of Health Net after Centene acquired it in 2016.
The California Department of Managed Health Care fined Anthem for neglecting to recognize and resolve plan members' complaints in a timely manner, pointing to hundreds of grievance violations over the past three years.
A group of pharmacies, PBMs and health plans pledged to support the federal government and states in clamping down on behaviors that have allowed opioid abuse to swell into a national epidemic, including recommendations to enforce seven-day prescriptions and e-prescribing.
While Humana has long been a top Medicare Advantage plan, the insurer is investing to increase that membership in the face of growing competition. Humana's profit rose in the third quarter, but its revenue slumped.
Insurer Molina Healthcare recorded a $97 million loss in the three months ended Sept. 30 as the company continues to restructure itself after firing its longtime CEO and CFO in May.
The annual study released Monday by the American Medical Association shows competition among health insurers continues to shrink, even with proposed mergers falling through this year, such as the major deals between Aetna and Humana, and Anthem and Cigna.