Even if the feds bury Anthem's acquisition of Cigna and Aetna's Humana deal, the big five health insurers are likely to forge new transactions to scale up and improve their position at the bargaining table with consolidating hospitals and systems.
A provision within the new Medicare physician payment law eliminates the most popular types of Medigap plans and therefore will lead to future Medigap enrollees paying more out of pocket for their medical care.
Providence Health & Services CEO Dr. Rod Hochman discusses his aggressive population health management strategy for his 34-hospital system and Providence's proposed merger with St. Joseph Health System, which would have major implications for the competitive landscape in the Los Angeles basin.
Federal and state insurance regulators are mulling the fate of two pending health insurance mergers, and many large employers won't be disappointed if officials torpedo the deals.
Evolent's technology and consulting platform can help identify high-risk patients by analyzing data from multiple sources and then create physician-driven care-management plans.
The health insurance mega-mergers proposed nearly a year ago may be entering their final months of regulatory review, and the road ahead could be rough.
A new bill making the rounds on Capitol Hill has a hospital-centric theme. But private Medicare Advantage insurers with bad quality ratings would also benefit from one surreptitious provision.
The nation's top healthcare leaders overwhelmingly back the Affordable Care Act and support its goal of pushing providers away from fee-for-service medicine and toward delivering value-based care, according to Modern Healthcare's second-quarter CEO Power Panel poll.
As hospital margins on traditional fee-for-service Medicare patients plunged deeper into the red, cost-cutting at hospitals has allowed many to make up those losses from their commercially insured clientele.
Humana may exit some individual exchange states in an effort to stop losses tied to the new Affordable Care Act policies, the insurer said Wednesday. Humana also continues to reel after losing a large Medicare Advantage employer account.
The CMS has started to answer the many questions surrounding how physicians will get paid under the Medicare Access and CHIP Reauthorization Act. But some stakeholders were immediately dissatisfied with what they saw, and the 963-page rule may have raised as many questions as it answered.
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.