In the ongoing rush of healthcare deals, perhaps no other health system has been as aggressive as Catholic Health Initiatives, which has executed a dozen transactions in the past three years that have expanded its operations into health insurance and established a $1 billion foothold in Texas.
Florida will liquidate the assets of a Medicare Advantage insurer, ending the company's short and troubled history.
UnitedHealth Group and Humana enroll more Medicare Advantage members than any other insurers, and it really isn't that close, according to the latest government data.
Florida intends to liquidate the assets of a Medicare Advantage insurer by the first of the year, ending the company's short and troubled history.
Kenneth Burdick has been named CEO of WellCare Health Plans, a Tampa, Fla.-based managed-care company that has suffered smaller margins and upheaval in its executive ranks this year.
Last month, the CMS quietly fined an Advantage plan in Arizona $146,600 for "systemic" violations. It was one of 30 fines levied against private Medicare plans this year, but they total less than $5 million.
Were patients really sicker? Lawsuits say Medicare Advantage plans inflated diagnoses to boost payments
Critics say the Medicare Advantage program's patient risk-score payment model offers a strong incentive to manipulate the scores, though plans say allegations of improper scoring are a result of invalid audit methods.
Eric Schultz, CEO of Wellesley, Mass.-based Harvard Pilgrim Health Care, discusses his organization's experience with the Obamacare insurance exchanges, narrow provider networks, re-entering the Medicare Advantage program, and his views on the expansion of Partners HealthCare in Massachusetts.
The financial surplus at Henry Ford Health System, Detroit, dropped slightly in the first nine months of 2014, but the system's health plan and other miscellaneous sources of income forestalled a deeper decline.
The Pittsburgh-based UPMC health system saw its insurance revenue rise 6% to $1.3 billion in the quarter ended Sept. 30 compared with the same period the previous year.
Insurer Highmark has won the latest round in its battle with healthcare giant UPMC. A Pennsylvania judge Thursday ruled that a Highmark health plan for seniors does not violate the terms of a previous agreement between the two entities, despite such allegations by state officials.
Health insurers are justified in raising alarms about the harmful effects of Medicare Advantage program cuts, executives with two of the country's largest health plans said Wednesday at a Washington forum. They promised to fight further reductions in spending on the popular coverage program for...