Top Senate Democrats rejected White House demands Friday to add provisions weakening the ACA to a bipartisan deal on steadying unsettled insurance markets. The compromise already faced an uphill path and this was the latest blow.
While many insurance companies have made efforts to combat the opioid crisis and eliminate barriers to treatment, members of President Donald Trump's opioid commission criticized the payers for not doing enough.
The number of U.S. adults without health insurance is up nearly 3.5 million this year, as rising premiums and political turmoil over Obamacare undermine coverage gains that drove the nation's uninsured rate to a historic low.
While hoping for a solution to address the individual market, executives gathered at Modern Healthcare's Leadership Symposium are skeptical that lawmakers will act.
If President Donald Trump prevails in shutting down a major Obamacare health insurance subsidy, it would have the unintended consequence of making free basic coverage available to more people, and making upper-tier plans more affordable.
There has been heightened scrutiny over pharmacy benefit managers' role in drug pricing in recent years. Anthem's creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.
Even before President Donald Trump announced plans last week to nix Obamacare subsidies, the Illinois Department of Insurance raced over the summer to get insurers on board with a strategy to minimize the financial pain of such a move.
Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM, Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.
Two key senators have reached a bipartisan agreement to extend funding for cost-sharing reduction payments to insurers for two years in exchange for greater state flexibility on insurance market rules. While the proposal has industry support, it's unclear whether it can clear Congress.
UnitedHealth Group's third-quarter earnings soared 26% to beat Wall Street expectations as its growing Optum business segment once again helped the nation's largest health insurer.
Legal experts say 19 state attorneys general face an uphill battle to convince a federal judge that the Trump administration is legally obligated to fund cost-sharing subsidies to insurers.
President Donald Trump last week signed an executive order to exempt health plans offered by trade and professional associations from the same coverage requirements as those offered by small businesses and on the individual market. Many fear such a move would drive up premiums for other plans.