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Some Advantage plans lose members

Some Advantage plans lose members

By Bob Herman  |  August 29, 2015

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.

Recruiters for ACA face staffing, funding hurdles

By Shannon Muchmore  |  August 29, 2015

With the next Affordable Care Act open-enrollment period looming, recruiters are looking for their next targets but they've got fewer resources for reaching the remaining uninsured.

Insurer tells public how much it pays providers

Insurer tells public how much it pays providers

By Bob Herman  |  August 29, 2015

Until this year, it was impossible for healthcare consumers in North Carolina to find out the average out-of-pocket cost for medical and surgical procedures. But in January, Blue Cross and Blue Shield of North Carolina unexpectedly launched an online site that allows the general public to see how...

Data Points for Aug. 31, 2015

Data Points for Aug. 31, 2015

By Modern Healthcare  |  August 29, 2015

Data Points for the week of Aug. 31, 2015, covered the following topics: Estimated cost for U.S. military to provide transition-related healthcare to transgender personnel, nursing home care, Medicare Advantage competition and physician diversity.

Insurers begin to review coverage of costly cholesterol drugs

By Bob Herman  |  August 28, 2015

Now that the Food and Drug Administration has given the OK to two pricey drugs that treat high cholesterol, health insurers and pharmacy benefit managers are evaluating if one drug should receive preferred coverage over the other.

With Nevada co-op closing, are more to come?

By Bob Herman  |  August 27, 2015

Nevada Health CO-OP is shutting down by Jan. 1, the not-for-profit health plan announced Wednesday. It is now the third co-op to fold, and data suggest it's possible other co-ops may follow suit.

Average premiums of Florida's individual ACA plans to rise 9.5%

Average premiums of Florida's individual ACA plans to rise 9.5%

By Bob Herman  |  August 26, 2015

The price of health plans sold on and off Florida's insurance exchange will go up an average of 9.5% next year, Florida's Office of Insurance Regulation said Wednesday. The final rates vary widely by insurer and type of plan.

Cigna picks Tennessee market president

Cigna picks Tennessee market president

By Adam Rubenfire  |  August 25, 2015

Cigna Corp. has named Greg Allen as president of its Tennessee market. He'll oversee the Bloomfield, Conn.-based insurer's products and services in the state, including employer-based group benefit plans, individual plans and Medicare plans.

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