Indianapolis-based Anthem said it has made several exceptions to its controversial ER program. But providers argue the changes are not enough to mitigate the harm Anthem's policy is causing patients.
Anthem recorded higher revenue and net income in the fourth quarter of 2017, helped by the new U.S. tax law, higher premiums and membership gains.
Anthem's CEO Gail Boudreaux, FDA Commissioner Dr. Scott Gottlieb and Optum CEO Larry Renfro are among top healthcare leaders who are likely to have a large impact on the industry in 2018.
Sen. Claire McCaskill (D-Mo.) is giving insurance giant Anthem roughly 30 days to explain why the company has decided to stop paying for ED visits it deems unnecessary in several states.
Top health plans and providers in California have joined an effort to use a unified, standard set of quality performance measures for accountable care organization reporting and ease the administrative burden on clinicians.
Now that Anthem's emergency department policy how been in effect for several months in some states, hospitals and patients are beginning to feel the impact of unpaid claims and big medical bills.
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.
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.