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How some Blues made the ACA work while others failed

How some Blues made the ACA work while others failed

By Bob Herman  |  October 15, 2016

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.

Fixing the insurance exchanges

Fixing the insurance exchanges

By Bob Herman  |  August 06, 2016

Industry and regulatory fixes to the ACA marketplaces appear inevitable as impatience and insurer losses escalate.

Struggling with Health Net, Centene will drop many Arizona ACA plans

By Bob Herman  |  July 26, 2016

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.

Insurers will consolidate even if mega-mergers fail

Insurers will consolidate even if mega-mergers fail

By Bob Herman  |  July 23, 2016

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.

Humana, Centene win multi-year military contracts

By Bob Herman  |  July 23, 2016

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.

Medicaid's unmanaged managed care

By Bob Herman  |  April 30, 2016

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.

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