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'Don't think you can turn into or develop a health plan on a dime'

'Don't think you can turn into or develop a health plan on a dime'

By Modern Healthcare  |  January 30, 2016

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.

Rocky Medicaid privatization rollout looms as political issue in Iowa

Rocky Medicaid privatization rollout looms as political issue in Iowa

By Harris Meyer  |  January 26, 2016

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.

War on cancer, take two

War on cancer, take two

By Maria Castellucci and Sabriya Rice  |  January 16, 2016

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.

Big insurer defections signal AHIP's fading clout

Big insurer defections signal AHIP's fading clout

By Bob Herman  |  January 09, 2016

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.

CMS in hot seat over exchange rules

CMS in hot seat over exchange rules

By Bob Herman  |  January 02, 2016

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.

Providers, patients oppose Iowa Medicaid waiver request

Providers, patients oppose Iowa Medicaid waiver request

By Virgil Dickson  |  December 12, 2015

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.

Health insurance startup Oscar slashes commissions

Health insurance startup Oscar slashes commissions

By Jonathan LaMantia, Crain's New York Business  |  December 03, 2015

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.

Wellmark will participate in Iowa exchange for 2017

By Bob Herman  |  October 10, 2015

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.

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