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News
Reform Update: Facing ACA mandates, insurers diversify into technology
By 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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News
Compounding pharmacies band together to fight coverage limits
By Steven Ross Johnson | July 31, 2014 | Basic Web Basic Web Subscription Details
A group of compounding pharmacies has joined a provider network launched this month, aiming to serve as an intermediary to negotiate with payers. The move comes in response to the recent decision by a number of pharmacy benefits managers to limit coverage of some custom medications.
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News
Express Scripts continues to see fallout from Medco purchase; income falls
By Virgil Dickson | July 30, 2014 | Basic Web Basic Web Subscription Details
The continued ripple effects of a major client exit following a big merger contributed to a second-quarter drop in net income for Express Scripts Holding Co.
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Magazine
UnitedHealth will compete on more insurance exchanges
By Paul Demko | July 19, 2014 | Print Magazine Print Magazine Subscription Details
UnitedHealth Group, the nation's largest insurer, has overcome its initial reservations about the Obamacare exchanges and will compete in up to two dozen state marketplaces during the 2015 open enrollment period. That's at least twice as many as it participated in this year.
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News
UnitedHealth poised to expand exchange presence
By Paul Demko | July 17, 2014 | Basic Web Basic Web Subscription Details
UnitedHealth Group will compete for customers in up to two dozen health insurance exchanges during the 2015 open enrollment period. That's at least twice as many markets as the country's largest insurer sold products in during the initial enrollment period, which ended earlier this year.
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News
Compounding pharmacists battle for solution to painkiller overuse
By Steven Ross Johnson | July 11, 2014 | Basic Web Basic Web Subscription Details
Compounding pharmacists say they can offer a possible answer to the continuing overuse of opioid painkillers across the country, but decisions from pharmacy benefit managers to limit coverage of some custom medications could squash that solution before it is extensively tried.
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News
Corizon Health taps UnitedHealthcare exec as president
By Bob Herman | July 08, 2014 | Basic Web Basic Web Subscription Details
Corizon Health, a for-profit provider of healthcare services at prisons, has named Scott Bowers president and COO, effective Aug. 4.
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Magazine
Insurers likely to post healthy earnings for Q2
By Rachel Landen | July 05, 2014 | Print Magazine Print Magazine Subscription Details
Second-quarter earnings for the major health insurers should be healthy with few surprises, despite financial pressures from fees, rate cuts and higher drug costs, and the potential risk from a new population gaining coverage under the Patient Protection and Affordable Care Act.
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News
Analysts predict healthy Q2 earnings for insurers
By Rachel Landen | July 02, 2014 | Basic Web Basic Web Subscription Details
The earnings consensus among the big health insurance players predicts a healthy second quarter with few surprises, despite financial pressures from fees, rate cuts and higher drug costs, as well as potential risk from a new population gaining coverage under the Patient Protection and Affordable...
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News
UnitedHealth provider cuts spur legislation
By Paul Demko | June 26, 2014 | Basic Web Basic Web Subscription Details
Legislation that would prohibit Medicare Advantage plans from dropping doctors in the middle of the year has been introduced in the House and Senate. The proposal was spurred by controversial cuts to provider networks over the past year by UnitedHealth Group.
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