Wildly different experiences with the ACA marketplaces have played out across 34 not-for-profit and mutual Blue Cross and Blue Shield brands, according to a Modern Healthcare analysis of financial filings.
The Pennsylvania Department of Human Services awarded a massive Medicaid bid last week to AmeriHealth Caritas, Centene Corp. and UPMC after delaying the decision for several months.
The Pennsylvania Department of Human Services awarded a massive Medicaid bid Tuesday to AmeriHealth Caritas, Centene Corp. and UPMC after delaying the decision for several months.
Industry and regulatory fixes to the ACA marketplaces appear inevitable as impatience and insurer losses escalate.
Massive losses surrounding Health Net's individual exchange plans overshadowed the second quarter at Centene Corp., which almost doubled profit and revenue. As a result, Centene will exit a “considerable amount” of exchange business in Arizona next year.
Even if the feds bury Anthem's acquisition of Cigna and Aetna's Humana deal, the big five health insurers are likely to forge new transactions to scale up and improve their position at the bargaining table with consolidating hospitals and systems.
The U.S. Defense Department is shuffling the insurance players in the Tricare program, which provides healthcare coverage for U.S. military members and their families.
The U.S. Defense Department has awarded multiyear contracts worth $58 billion to Humana and Centene Corp. to manage Tricare, surprisingly booting incumbent health insurer UnitedHealthcare in the process.
Indiana awarded new managed Medicaid contracts to four out of five bidding private health insurers. UnitedHealthcare was the lone company to miss the cut because its proposed costs were too high.
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.
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.