For the first time in the AMA's history, the group elected women as president and president-elect. Dr. Patrice Harris will be the next president after Dr. Barbara L. McAneny serves a year in the top office.
AHIP's focus on issues like food, housing and transportation—factors experts say have a profound impact on a patient's health—showed insurers are beginning to pay attention to what happens outside of the hospital, even if returns are still hard to measure.
Antitrust experts and healthcare provider representatives questioned the promised benefits of a proposed merger between pharmacy chain CVS Health and insurer Aetna during a hearing before the California insurance commissioner.
Although a federal appeals court ruled that health insurers aren't entitled to $12.3 billion in unpaid risk-corridor payments, some disappointed insurers indicated they aren't giving up their quest to secure the funds.
Some health insurers have said they don't expect many members to drop coverage once the individual mandate penalty is zeroed out. But they still may raise 2019 premiums because of effects on the ACA's risk-adjustment program.
Health insurers have been buying physician practices for decades. The Affordable Care Act was expected to prompt a surge of such purchases. While that never fully materialized, some pretty significant deals emerged.
In a turf war between hospitals and health insurers over physician practices, hospitals are winning by a long shot. But a slew of recent activity shows that insurers are clawing their way back.
Emergency department spending per member nearly doubled from 2009 to 2016 as the severity of ED visits and the prices associated with those visits increased, new data from the Health Care Cost Institute shows.
Brian Pieninck succeeds Chet Burrell, who announced his retirement from the Baltimore-based insurer in September last year.
Anthem's deal with Aspire Health marks another in a slew of provider purchases by insurers aiming to reduce costs by shifting care away from costly inpatient settings.
NYC Health & Hospitals and UnitedHealthcare are heading to arbitration over $11.5 million in denied inpatient medical claims. Most were for emergency care for patients covered by UnitedHealthcare's Medicaid and Medicare programs.
David Cordani doesn't view Cigna as merely a health insurer. The Bloomfield, Conn.-based company, he said, is in the business of delivering "health services." The proposed $54 billion purchase of Express Scripts falls in line with that, he argued.