A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.
UnitedHealth Group may be abandoning most of the Affordable Care Act's insurance exchanges due to steep losses. But Centene Corp. is doing just fine.
UnitedHealth Group CEO Stephen Hemsley earned $14.5 million in 2015, according to a filing Friday, but he wasn't the top-earning health insurance executive.
Hospitals and physician groups are consolidating, too, but most of the leaders on Modern Healthcare's Power Panel are more concerned about the financial impact of the pending health insurance megamergers.
Centene Corp. continues to fight for regulatory approval over its Health Net acquisition, and the insurer is banking on a March 1 closing date.
BlackRock, the world's largest asset manager, is placing big bets on healthcare stocks. The giant New York money manager, which oversees more than $4.5 trillion in assets, took large positions last year in at least 14 investor-owned healthcare companies and a host of medical-device and equipment...
A Centurion subsidiary will provide health services for over three-fourths of prisoners in Florida's penal system, which has been investigated for inmate deaths.
Most insurers have embraced the ACA, and it has helped many of them financially through the tacit encouragement of products such as high-deductible plans. But many still puzzle over how to pivot beyond what was long the core of their business: employer-based plans and holding down medical claims.
Full-year profit at Centene Corp. is expected to top previous estimates, the Medicaid managed-care insurer said late Tuesday.
Health insurer Centene Corp. is hunting for six computer hard drives containing the personally identifiable health records of about 950,000 individuals, the company said Monday afternoon.
The health insurance industry will be watching and waiting to see if antitrust regulators approve several big insurance mergers, whether the Affordable Care Act's exchange market grows more sustainable, and whether states adopt new regulations governing provider network adequacy.
Health plans have complained for years that the CMS doesn't treat them fairly if they enroll large numbers of low-income people with complex medical needs. It looks as if they have been heard and may see the changes they want.