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Insurers reveal what healthcare providers are paid

Insurers reveal what healthcare providers are paid

By Melanie Evans  |  February 25, 2015

Healthcare consumers have a new tool to compare prices using data from some of the largest U.S. health insurers, but comparison shopping will remain a challenge for most.

Iowa opens Medicaid program to managed-care bidding

By Bob Herman  |  February 24, 2015

Two health insurers already operating in Iowa have indicated they will bid on Iowa's new proposal to outsource its $4.2 billion Medicaid program to managed-care companies. It's the latest state move to privatize the health insurance program for low-income Americans.

Rate battle peaks as Advantage plans grow

Rate battle peaks as Advantage plans grow

By Bob Herman  |  February 20, 2015

Paula Ercolini is one of about 1.8 million seniors who are part of a Medicare Advantage advocacy group that is blitzing the airwaves and putting pressure on the Obama administration and Congress.

'If the ACA blows up, it puts a lot of pressure on Republicans'

'If the ACA blows up, it puts a lot of pressure on Republicans'

By Modern Healthcare  |  February 07, 2015

Dr. J. Mario Molina, chairman and CEO of Molina Healthcare, discusses how he and his family developed the company, the mission of serving Medicaid patients, his prediction on what happens if the U.S. Supreme Court strikes down premium subsidies, and Molina's M&A strategies.

Aetna closes 2014 with record profit, up 6.6% for the year

By Bob Herman  |  February 03, 2015

Aetna recorded more than $2 billion in profit in fiscal 2014, the highest level in the company’s history and a signal that healthcare reform continues to treat the health insurance industry well.

Where healthcare is now on march to value-based pay

Where healthcare is now on march to value-based pay

By Melanie Evans and Bob Herman  |  January 28, 2015

U.S. healthcare providers and insurers start from widely divergent places as some of the largest move to put most of their business into payment models that reward lower cost and higher quality care.

Iowa declares the demise of CoOportunity Health

By Bob Herman  |  January 23, 2015

The Iowa Insurance Division said Friday that not-for-profit health insurer CoOportunity Health could not be saved and ordered its liquidation by the end of February.

Financing questions loom as private LTC insurers falter

Financing questions loom as private LTC insurers falter

By Steven Ross Johnson  |  January 17, 2015

A growing number of Americans are expected to need long-term-care services such as nursing home and home health care in the coming years. But experts increasingly doubt that private LTC insurance alone is a viable way to finance that care.

Whistling past the graveyard on Obamacare threats

By Harris Meyer  |  January 17, 2015

Top healthcare executives who gathered in San Francisco this past week at the J.P. Morgan Healthcare Conference widely agreed that the healthcare reform law's coverage expansion and other provisions are not in jeopardy at the hands of congressional Republicans or the Supreme Court. Really?

Aetna inks discount deal for Gilead's hepatitis C drugs

Aetna inks discount deal for Gilead's hepatitis C drugs

By Bob Herman  |  January 16, 2015

Aetna has agreed to a deal with Gilead Sciences to give preference to the drugmaker's hepatitis C drugs. It's the fourth straight agreement where a payer or benefits manager has chosen Gilead over competitor AbbVie.

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