Third-quarter profit shot up at UnitedHealth Group, just as the health insurance and services conglomerate is set to drastically reduce its presence in the Affordable Care Act's individual marketplaces.
Carolinas HealthCare System is fighting back against a lawsuit by the U.S. Justice Department that alleges the system imposed anti-competitive contract requirements on insurers, saying a federal appeals court has rejected the government's arguments.
Doctors say they're losing patients when commercial health plans automatically move consumers over to a Medicare Advantage plan when they turn 65. The MA plans mean more revenue for insurers, but it often means patients' usual doctors will be considered out of network.
Humana, UnitedHealthcare, WellCare, Blue Cross and Blue Shield of Florida and CVS Health are among those participating in a Medicare Part D model that gives insurers financial incentives to offer innovative programs that encourage patients to take their medications.
Both Democrat Hillary Clinton and Republican Donald Trump have reportedly tapped policy experts with some healthcare experience for their transition teams.
Hundreds of UnitedHealthcare beneficiaries can sue the insurer as a class over its mental health coverage, a California federal judge ruled Monday.
Medicare's new payment system for physicians is causing anxiety because of the short stretch of road before their performance is judged for a raise or pay cut. In the long-term, though, Medicare and most everyone else want providers to leave that new system behind. It's value-based training wheels.
Burwell reportedly cited recent surveys that show enrollees are extremely satisfied with their coverage and that record numbers of people have gained insurance. She also downplayed the significance of UnitedHealthcare and Aetna pulling out of the exchanges. The meeting came just days after...
ConnectiCare said it discussed its planned departure with state regulators and its beneficiaries and ultimately decided to stay in the ACA market. The company had earlier said it would leave in the wake of a state court's Sept. 9 rejection of the insurer's attempt to force through a proposed 27%...
With less than four months before a new administration moves into the Oval Office, experts and stakeholders are taking stock of President Barack Obama's landmark healthcare reform law.
Piedmont Healthcare in Atlanta has signed a three-year contract with UnitedHealthcare after previously warning its commercial members that they would be treated as out-of-network patients. A two-month stalemate as the system negotiated its contract with the insurer caught customers in the middle.
The CMS is asking the public for information about providers and organizations that may be steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges in order to receive higher reimbursement rates.