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Insurer tells public how much it pays providers

Insurer tells public how much it pays providers

By Bob Herman  |  August 29, 2015

Until this year, it was impossible for healthcare consumers in North Carolina to find out the average out-of-pocket cost for medical and surgical procedures. But in January, Blue Cross and Blue Shield of North Carolina unexpectedly launched an online site that allows the general public to see how...

Four insurers win Iowa Medicaid contracts

By Bob Herman  |  August 22, 2015

Iowa's Department of Human Services has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.

Anthem, UnitedHealthcare among winners of Iowa Medicaid contracts

By Bob Herman  |  August 17, 2015

Iowa has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.

Finalists chosen for Marketing IMPACT Awards

By Modern Healthcare  |  August 15, 2015

Modern Healthcare and sister publication Advertising Age are proud to announce the finalists in the second annual Healthcare Marketing IMPACT Awards competition.

Innovations: Moving wearables into wellness

Innovations: Moving wearables into wellness

By Beth Kutscher  |  August 08, 2015

Tech-savvy consumers are tracking their daily steps on pedometers, entering their food into calorie-counting sites and participating in online forums. But until recently, their digital health world operated entirely outside the realm they entered once they became ill.

Covered California holds line on rates

Covered California holds line on rates

By Virgil Dickson  |  July 27, 2015

Covered California enrollees will see premiums increase 4% in 2016, exchange officials said Monday. The increase is actually slightly less than the 4.2% jump consumers experienced between 2014 and 2015.

Providers fear insurance mergers will intensify rate pressures

Providers fear insurance mergers will intensify rate pressures

By Bob Herman  |  June 27, 2015

The health insurance industry is on the verge of large-scale consolidation as its leaders seek to drive down costs, increase negotiating leverage and boost profits. But that could spur more consolidation among providers to counter the greater bargaining power of a smaller number of big insurers.

Blog: UnitedHealth dumps AHIP

Blog: UnitedHealth dumps AHIP

By Bob Herman  |  June 23, 2015

America's Health Insurance Plans lost its star leader a few weeks ago, and now a heavyweight member is heading out, too.

Competition's self-destructive side

Competition's self-destructive side

By Harris Meyer  |  June 06, 2015

Gotcha. That seems to be the game healthcare providers and insurers are playing with consumers when it comes to surprise out-of-network bills. But it's not a promising business strategy. And it threatens to undermine support for the healthcare system's emerging consumer-choice/narrow-network model.

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