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Aetna swings to first-quarter profit on Medicare membership gains

Aetna swings to first-quarter profit on Medicare membership gains

By Shelby Livingston  |  May 01, 2018

Aetna posted a profit in the first quarter of 2018, a major turnaround from a loss in the year-ago quarter as the insurer reported membership gains in its Medicare Advantage business along with lower overall medical costs.

Judge tosses Envision lawsuit against UnitedHealth

Judge tosses Envision lawsuit against UnitedHealth

By Shelby Livingston  |  April 30, 2018

A federal judge dismissed physician staffing firm Envision Healthcare's lawsuit against UnitedHealth Group over a payment dispute, saying it belongs in arbitration.

Rhode Island looks to curb balance billing

Rhode Island looks to curb balance billing

By Susannah Luthi  |  April 10, 2018

Rhode Island may join states trying to shield insured patients from surprise medical bills if they have to visit a physician or hospital out of their carrier's network—also known as "balance billing."

Alternative pay models stifled by lack of private payer interest

Alternative pay models stifled by lack of private payer interest

By Virgil Dickson  |  April 02, 2018

A CMS initiative encouraging states to develop alternative pay models has failed to make a dent in health expenditures, partly due to private insurers' lack of interest in the programs, according to a new analysis.

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