As more insurers shift to narrow provider networks to keep premiums down, hospitals increasingly find themselves caught in the middle as patients, insurers and physicians fight over who should pick up bills for services that patients unknowingly receive from out-of-network doctors.
In January, Blue Cross and Blue Shield of North Carolina launched an online site that allows the public to see how much it pays particular providers for certain services. An unexpected group pushed BCBS of North Carolina to expand its price transparency efforts—physicians.
Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.
Aetna is determined to nab government approval of its $37 billion acquisition of Humana. And the health insurance titan has bulked up its roster of hired guns to meet that goal.
Iowa has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.
Modern Healthcare and sister publication Advertising Age are proud to announce the finalists in the second annual Healthcare Marketing IMPACT Awards competition.
Behind the scenes of the months-long Humana acquisition drama, Aetna CEO Mark Bertolini bested Cigna Corp. CEO David Cordani at every turn. Cordani wound up getting very little of what he wanted, including a top job.
The back story behind Aetna's acquisition of Humana reads like a soap opera in which each of the “big five” health insurance companies were involved and multiple deals were hanging in the air at the same time.
A new rule that will shed light on the rising wealth gap between America's CEOs and average workers could put some healthcare companies with large numbers of low-wage employees in the public's crosshairs.
Mergers between the nation's largest insurers could hurt competition in a “profound” way when it comes to access, affordability and innovation in healthcare, the American Hospital Association warned in a letter to the U.S. Justice Department.
Aetna raised its earnings outlook yet again after the health insurance behemoth posted second-quarter earnings that blew away expectations.
Anthem's announced $54.2 billion takeover of Cigna Corp. last week is the latest and largest sign of health insurers' lust for scale. But at the heart of the merger momentum is their desire to expand their government business, particularly in the lucrative Medicare Advantage market.