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News
Aetna, Sam's Club project signals continuing shift toward private exchanges
By Bob Herman | October 24, 2014 | Basic Web Basic Web Subscription Details
A new health insurance exchange announced Thursday by a large retailer is betting that analysts who predict that roughly 40 million people will buy their health plans through a private online marketplace by 2018 are right.
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Magazine
Aetna drops Delaware Medicaid plan
By Bob Herman | October 18, 2014 | Print Magazine Print Magazine Subscription Details
Aetna will shut down its Delaware Medicaid plan by year-end after the insurer and the state couldn't agree on new managed-care rates.
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Magazine
At home with the specialist: Oncologists and other specialists launching patient-centered medical homes
By Andis Robeznieks | October 18, 2014 | Print Magazine Print Magazine Subscription Details
A growing number of specialist practices, insurers and health systems are moving toward the specialist-based medical home model.
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News
Delaware's Medicaid program dumps Aetna for Highmark
By Bob Herman | October 17, 2014 | Basic Web Basic Web Subscription Details
Aetna will shut down its Medicaid plan in Delaware by the end of this year because the publicly traded insurer and the state couldn't agree on new managed-care rates.
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Magazine
Earnings report may reveal UnitedHealth's exchange plans
By Paul Demko | October 11, 2014 | Print Magazine Print Magazine Subscription Details
When UnitedHealth Group kicks off the third-quarter earnings season for insurers Thursday, reform watchers will be eager to hear more from its executives about their intentions for the 2015 Obamacare open enrollment.
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News
Reform Update: Anthem's Vivity experiment will be one test of reform's progress
Melanie Evans | September 24, 2014 | Basic Web Basic Web Subscription Details
The success or failure of Anthem Blue Cross of California's experiment with an alliance of Los Angeles-area health systems may serve as a measure of progress toward remaking healthcare markets to eliminate waste and deliver more effective care.
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News
Reform Update: Facing ACA mandates, insurers diversify into technology
Beth Kutscher | August 28, 2014 | Basic Web Basic Web Subscription Details
Health insurance companies, now required to spend the lion's share of premium revenue on patient care, are looking for higher investment returns elsewhere. As a result, they're increasingly putting money into technology ventures where they expect to realize higher returns.
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Information
Kaiser cuts Obamacare rates 1.4% for 2015; Anthem hikes rates 4.6%
Los Angeles Times | August 12, 2014
Healthcare giant Kaiser Permanente is lowering its rates for Obamacare coverage in California by 1.4% next year, and rates for Anthem Blue Cross, a unit of industry giant WellPoint, are going up 4.6%, on average,
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News
Despite exchanges' drag on income, Aetna's profits rise
Paul Demko | July 29, 2014 | Basic Web Basic Web Subscription Details
Aetna's participation in state and federal exchanges is creating a modest drag on profitability, company officials said repeatedly on a call with investors Tuesday. Despite that financial challenge, the insurer beat analysts' expectations for earnings in the second quarter and plans to expand into...
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Magazine
Dr. Harold Paz will become chief medical officer of health insurer Aetna, and other moves
Modern Healthcare | July 19, 2014 | Print Magazine Print Magazine Subscription Details
Dr. Harold Paz, CEO of Penn State Milton S. Hershey (Pa.) Medical Center, will step down and become chief medical officer of health insurer Aetna, effective July 28. He will replace Dr. Lonny Reisman, who left Aetna in April.
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