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Maxwell named interim CEO of Presbyterian Healthcare

Maxwell named interim CEO of Presbyterian Healthcare

By Modern Healthcare  |  October 29, 2016

Dale Maxwell will become interim CEO at Albuquerque-based Presbyterian Healthcare Services when current president and CEO James Hinton leaves to become chief executive at Dallas-based Baylor Scott & White Health in January 2017.

Humana, Cigna hit by lower 2017 Medicare star ratings

Humana, Cigna hit by lower 2017 Medicare star ratings

By Shannon Muchmore and Aurora Aguilar  |  October 12, 2016

The percentage of Humana Medicare Advantage members in plans with four stars or higher fell by half, from 78% a year ago to 37%. Cigna has only 20% of its members in plans rated four stars or higher. Meanwhile, 91% of Aetna's members are enrolled in four-star plans.

Docs lose patients when insurers move 65-year-olds to Medicare Advantage plans

Docs lose patients when insurers move 65-year-olds to Medicare Advantage plans

By Virgil Dickson  |  October 04, 2016

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.

HHS hikes civil money penalties

By Bob Herman and Erica Teichert  |  September 06, 2016

Healthcare organizations that run afoul of federal regulations will be paying heftier penalties, due to updates made by HHS last Friday that factor in multiple years of inflation.

Cigna's Medicare problems won't be fixed by annual enrollment

By Bob Herman  |  September 06, 2016

Cigna has spent the past eight months attempting to resolve the major problems found in its Medicare Advantage plans, but the health insurer does not expect those issues will be rectified by the time Medicare beneficiaries participate in annual enrollment this autumn.

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