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Aetna, Humana antitrust trial set to begin

By Maria Castellucci  |  December 03, 2016

Aetna and Humana, two of the largest Medicare Advantage players, will fight accusations that if they merged, seniors and people with disabilities in more than 300 markets would be negatively affected.

Just 1 in 4 want to see ACA repealed

Just 1 in 4 want to see ACA repealed

By Virgil Dickson  |  December 01, 2016

While more than a quarter of people surveyed by the Kaiser Family Foundation after the election want to see the Affordable Care Act repealed, nearly half want to either expand it or keep it as it is.

CVS pairs up with OptumRx to compete against rival Walgreens

By Shelby Livingston  |  November 30, 2016

CVS Health is partnering with UnitedHealth's pharmacy-benefit manager business OptumRx in a move that helps the retailer compete with rival drugstore chain Walgreens, which struck a similar deal with OptumRx earlier in the year.

UPMC hourly workers strike to protest wages, union rights

UPMC hourly workers strike to protest wages, union rights

By Maria Castellucci  |  November 29, 2016

Around 20 employees of Pittsburgh-based UPMC health system staged a labor strike Tuesday to protest wages and union rights. The striking workers allege UPMC has prevented them from forming a local under the Service Employees International Union-Healthcare Pennsylvania.

OIG: Minnesota's ACA marketplace misallocated federal funds

By Virgil Dickson  |  November 28, 2016

Minnesota marketplace may have improperly spent federal grants that were meant to help establish its health insurance marketplace, according to a new report by HHS' Office of Inspector General.

Why can't devicemakers and insurers get along?

Why can't devicemakers and insurers get along?

By Adam Rubenfire  |  November 26, 2016

For patients who want to use newer, novel devices beyond clinical trials, affordability is often the central issue blocking access when insurers won't cover their purchase. Manufacturers that can't get widespread coverage for their products face the prospect of limited sales.

What New Jersey's proposed out-of-network cap would do to hospital margins

What New Jersey's proposed out-of-network cap would do to hospital margins

By Shelby Livingston  |  November 22, 2016

New Jersey legislation to cap the amount hospitals can charge for involuntary out-of-network services would lead to operating losses at hospitals across the state, causing some to take on severe cost-saving measures, according to a study commissioned by a hospital system.

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