Aetna loses membership in Q1 but builds revenue

By Bob Herman  |  April 28, 2016

Aetna's total medical membership fell by almost a half million people since the start of the year, but the Hartford, Conn.-based health insurer was still able to build revenue.

85% medical-loss ratio in final managed Medicaid rule

By Virgil Dickson and Bob Herman  |  April 25, 2016

The CMS has finalized a long-awaited rule that will overhaul managed Medicaid, which has not been updated in a decade. The medical-loss ratios were capped at 85%, and network adequacy issues have been punted to states.

Data Points for April 25, 2016

Data Points for April 25, 2016

By Modern Healthcare  |  April 23, 2016

Data Points for the week of April 25, 2016, covered the following topics: States cut funds for health centers, mental health, Medicaid and public heath.

Ohio Medicaid waiver could cost hospitals $2.5 billion

By Virgil Dickson  |  April 22, 2016

A provision of the pending Medicaid waiver request submitted by the administration of Republican Gov. John Kasich would eliminate 90-day retroactive coverage. That could cost hospitals as much as $2.5 billion over the course of the five-year waiver, according to an analysis.

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