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.
A new federal proposal would slash overpayments made to Medicare Advantage plans sponsored by employers and unions years after an advisory board recommended the policy.
Fourth-quarter earnings at health insurer Cigna Corp. dropped 9%, but there are bigger questions about how Cigna will rectify the problems in its Medicare Advantage and Part D plans.
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 the week of Dec. 14, 2015, covered the following topics: Mass shootings, healthcare costs, ebola, contraceptive coverage and breast cancer screening
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.
During oral arguments Wednesday, several U.S. Supreme Court justices hinted how they might rule in a case that some say could hinder states' healthcare reform efforts.
St. John's Hospital and insurer Horace Mann, both located in Springfield, Ill., will open a shared clinic for their employees in early 2016.
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.
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.
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.
MissionPoint Health Partners, an Ascension subsidiary that develops health plan networks and accountable care organizations, is going after employers' business in Alabama, Indiana and Florida.