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Will the Anthem-Express Scripts battle change the PBM landscape?

Will the Anthem-Express Scripts battle change the PBM landscape?

By Bob Herman  |  March 21, 2016

Anthem's legal strike against Express Scripts Holding Co. may spur other health insurance companies to re-evaluate their contracts with pharmacy benefits managers to see if they are getting shortchanged on drug savings.

Ohio's HealthSpan drops Kaiser model, ACA policies

Ohio's HealthSpan drops Kaiser model, ACA policies

By Bob Herman  |  December 14, 2015

HealthSpan, the insurance arm of Catholic health system Mercy Health, is getting rid of its medical group and halting sales of Affordable Care Act policies just two years after acquiring Kaiser Permanente's Ohio subsidiary.

Data Points for Dec. 14, 2015

Data Points for Dec. 14, 2015

By Modern Healthcare  |  December 12, 2015

Data Points for the week of Dec. 14, 2015, covered the following topics: Mass shootings, healthcare costs, ebola, contraceptive coverage and breast cancer screening

Company doctoring: More employers offer on-site clinics

Company doctoring: More employers offer on-site clinics

By David Royse  |  December 05, 2015

A growing list of large U.S. employers that have opened on-site health clinics in an effort to control the rising costs of their health benefit programs. Nearly 30% of firms with more than 5,000 workers now have on-site or near-site clinics offering some type of primary care, up from 24% in 2013.

UAW contract could leave Michigan Blues out in the cold

By Bob Herman  |  September 25, 2015

Detroit's car industry has been a longtime engine of financial stability for Blue Cross and Blue Shield of Michigan. But if a new union contract moves forward, the health insurer might be rotated out.

Employee deductibles, not premiums, continue heavy growth

Employee deductibles, not premiums, continue heavy growth

By Bob Herman  |  September 22, 2015

Premiums tied to employer-based health plans rose modestly in 2015, and more companies are shifting an increasing number of employees to plans that have higher deductibles and out-of-pocket payments.

Fraud case highlights hazards for hospitals with insurance plans

By Lisa Schencker  |  September 10, 2015

A whistle-blower lawsuit accusing two North Carolina hospitals of using their managed-care organization to fraudulently boost Medicare reimbursements shows complications that can arise as hospitals increasingly move into the insurance business.

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