Iowa's controversial privatized Medicaid program is facing intense scrutiny and financial concerns from the health insurers that run it—Anthem's Amerigroup, AmeriHealth Caritas and UnitedHealthcare.
Tenet Healthcare Corp. has locked up new multiyear contracts with insurance giants UnitedHealthcare and Centene Corp., cementing pricing for the hospital system and uninterrupted service for the insurer's members.
Star ratings are usually what draw consumers to Advantage plans. And insurers will once again see who's gaining beneficiaries as open enrollment for Medicare ends this week.
The demand for bundled payments has come primarily from employers, who want predictable medical costs and better quality of care for employees, UnitedHealthcare said.
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.
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%...