Mary Brainerd, CEO of HealthPartners, discusses her system's foray into insurance, the challenges faced by providers that want to make similar moves and her own experience in the healthcare system as a patient with breast cancer. She spoke with Modern Healthcare reporter Bob Herman.
Ahead of the Iowa presidential caucuses, the spotlight is on arguments over the Affordable Care Act. But many providers, patients and public officials in the Hawkeye State are more immediately concerned about Gov. Terry Branstad's shaky Medicaid privatization effort.
In light of the challenges seen since President Nixon launched the first "war on cancer" in 1971, experts say any new approach to cures, moonshot or otherwise, must get back to the basics. The oncology community agrees a coordinated approach could address the clinical research challenges.
Aetna's departure from AHIP months after UnitedHealth Group bolted is further evidence that the large national insurers are increasingly happy to fight their own battles on Capitol Hill, such as shepherding their pending mega-mergers and negotiating changes to the ACA marketplaces.
The CMS faces a daunting task in finalizing regulations for health plans sold on the federal exchange in 2017, given insurance and business groups' strong pushback to the agency's proposed rules issued in November.
As opioid overdoses continue to rise across the country, providers are battling large insurers and pharmacy benefit managers that argue coverage of treatments for people with opioid addictions should be left up to the payers' discretion.
The liberation of long-hidden data on what private insurers pay for medical services may increasingly put providers in an unflattering light as they bulk up through mergers and acquisitions.
Providers, patients and lawmakers in Iowa are urging the CMS to reject a waiver request that would permit the state's Medicaid program to become exclusively a managed-care program.
UnitedHealth Group will use Praluent, one of two new federally approved cholesterol-lowering drugs, in its formularies.
Oscar became the most recent health insurer to slash the commissions it pays to brokers. The Manhattan startup last month sent a letter notifying brokers that rates would be more than halved starting in February.
During the 2016 open enrollment for Affordable Care Act plans, exchange shoppers generally will see premium increases, though they vary sharply by plan and by market.
Wellmark Blue Cross and Blue Shield will start selling health plans on Iowa's exchange during the 2016 open-enrollment period, after sitting out the first two years.