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.
The rumored deal between the retail giant and health insurer would create a force in the Medicare Advantage industry that some experts say would have the potential to transform how America's seniors access healthcare.
The Blue Cross and Blue Shield Association has adopted a new standard that opioids should not be the first or second treatment options to manage pain, guidelines lauded by pharmaceutical experts.
Health insurers and pharmaceutical companies are pointing fingers at each other over the rising cost of prescription drugs as scrutiny of drug spending intensifies.
The $1.3 trillion omnibus spending bill the House passed Thursday lacks funding for two things insurers want: cost-sharing reduction payments and federal reinsurance. That likely means they'll hike premiums and rethink participating in the individual market for 2019.
Health insurers have become more profitable since the Affordable Care Act took effect, according to the White House Council of Economic Advisers, despite initial stumbles on the public exchanges.
Modern Healthcare caught up with America's Health Insurance Plans' next CEO, Matt Eyles, to discuss the trade group's priorities, political moves to expand short-term plans, and the recent wave of proposed megamergers involving insurers.
UnitedHealth and physician staffing firm Envision Healthcare are locked in a dispute over ER payment issues. UnitedHealth recently launched a website about Envision's "outrageous billing practices" in response to Envision's lawsuit against the insurer.
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.