Two large Midwest health systems are building an insurance plan together around Medicare Advantage, and the joint venture marks yet another example of providers' burning ambition to get into the insurance game. And many of them are honing their play in the Medicare league.
Banner Health expected the integration of the University of Arizona Health Network would be challenging. But its third-quarter financial performance also has been stressed by rising expenses and losses in its Medicare Advantage business.
Two large Midwest health systems are building an insurance plan together centered on Medicare Advantage. The joint venture marks yet another example of providers' burning ambitions to get into the insurance game. Many of them are honing their play in the Medicare league.
Catherine Jacobson, president and CEO of Froedtert Health, Milwaukee, outlines the goals of her system's health plan joint venture with Ascension Health, Froedtert's Medicaid experience in a state that has not expanded eligibility under the Affordable Care Act, and her views on risk-based...
Dan Hilferty, president and CEO of Independence Blue Cross, shares his views on managing the health of Medicaid patients, building provider networks and moving forward with value-based payment. He spoke with Modern Healthcare reporter Bob Herman.
Health plans have complained for years that the CMS doesn't treat them fairly if they enroll large numbers of low-income people with complex medical needs. It looks as if they have been heard and may see the changes they want.
Anthem reported a 4% increase in third-quarter profit and beat Wall Street forecasts as the number of people the health insurer covers edged slightly higher.
Dr. Michael Cropp, president and CEO of Independent Health, a not-for-profit health insurer based in Buffalo, N.Y., discusses surprise medical bills, how his plan reduced premiums this year and his views of prescription drug prices. He spoke with Modern Healthcare reporter Bob Herman.
Top CMS officials signaled this week that the agency will consider altering Medicare Advantage quality ratings to adjust for socio-economic characteristics of a plan's enrollees.
Third-quarter revenue at UnitedHealth Group boomed, but profit mostly stayed the same. The health insurer continues to offer more Medicare and Medicaid health plans, which have higher costs and lower margins than the employer business.
More Medicare Advantage plans nabbed top quality marks for their 2016 plans than last year, and other news
More Medicare Advantage plans nabbed top quality marks for their 2016 plans than last year, a sign that private insurers are trying to meet the federal government's standards for high-quality products and coordinated healthcare for seniors.
The Medicare Payment Advisory Commission is holding off on recommending how Congress or the CMS should address a perceived disadvantage some Medicare Advantage plans say they face with the agency's star rating system.