The California Department of Managed Health Care fined Anthem for neglecting to recognize and resolve plan members' complaints in a timely manner, pointing to hundreds of grievance violations over the past three years.
No. 2 health insurer Anthem's decision to replace CEO Joseph Swedish with a former UnitedHealthcare CEO and Humana's deal to sell its long-term care insurance business has the insurance industry bracing for major changes.
After almost five years at the helm of Anthem, the nation's second-largest health insurer, Joseph Swedish is retiring. Gail Boudreaux, the former CEO of UnitedHealthcare, will take his place.
Indianapolis-based health insurer Anthem grew profit and revenue in the third quarter of 2017 thanks to higher premiums and membership growth in its local employer and Medicare Advantage businesses.
Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM, Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.
Data released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.
Cleveland Clinic is working with Anthem Blue Cross and Blue Shield in Ohio to offer a new Medicare Advantage plan, continuing the health system's recent pattern of partnerships with insurance companies.
The acquisition of HealthSun, with its 40,000 Medicare Advantage members, will give Anthem 650,000 Medicare and Medicaid members across Florida
Anthem's decision to stay in dozens of Virginia counties that would have had no individual exchange insurance options for 2018 means there are once again no "bare" U.S. counties.
Anthem Blue Cross and Blue Shield says it will not sell health insurance plans statewide, leaving just one insurance provider for each county on Kentucky's health exchange.
Looking to lower healthcare spending, Anthem will no longer pay for MRIs delivered on an outpatient basis at hospitals. Some health systems collect more than half of their profit from imaging services.
The announcement of the breach comes just over a month after Anthem reached the largest ever settlement in a data-breach case.