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Demands of an aging population will have Medicare, Medicaid fighting for dollars

By Merrill Goozner  |  May 23, 2015

Medicare and Medicaid evolved in dramatically different ways. Medicare, which provided health coverage for seniors, became the third rail of American politics. Medicaid, a state-based program that provided health coverage for the poor, existed in a political netherworld. All that is about to change.

Blog: Health insurer M&A chatter heats up, but is it overhyped?

By Bob Herman  |  May 22, 2015

The health insurance industry has been abuzz the past few weeks with speculation that a big merger is near. Aetna, Anthem, Cigna Corp. and Humana have all been at its epicenter. But do the rumblings really predict a seismic deal?

Experts urge swift call for help to investigate data breaches

By Adam Rubenfire  |  May 21, 2015

IT staff at CareFirst Blue Cross and Blue Shield believed they contained a data hack back in June. But on Wednesday, the insurer said data on 1.1 million individuals was breached. Experts warn any delay in responding to a breach can aggravate security risks and increase public relations damage.

AHIP CEO Karen Ignagni leaving for EmblemHealth

AHIP CEO Karen Ignagni leaving for EmblemHealth

By Bob Herman  |  May 21, 2015

Karen Ignagni, the longtime head of America's Health Insurance Plans, is leaving the industry's powerful lobbying group to become president and CEO of EmblemHealth, a financially troubled insurer based in New York.

CareFirst's data hoarding widened reach of breach

CareFirst's data hoarding widened reach of breach

By Adam Rubenfire  |  May 20, 2015

The sophisticated cyberattack against CareFirst Blue Cross and the record-breaking hacks at Premera Blue Cross and Anthem would have a narrower impact if companies didn't retain customer data for so long, experts say.

Insurer CareFirst says 1.1 million affected in cyberattack

By Adam Rubenfire  |  May 20, 2015

CareFirst Blue Cross and Blue Shield, a not-for-profit insurer serving Maryland, Washington and northern Virginia, said Wednesday that it was the target of a sophisticated cyberattack affecting 1.1 million individuals.

More underinsured as high deductibles proliferate

More underinsured as high deductibles proliferate

By Melanie Evans  |  May 20, 2015

High deductibles are increasingly the reason U.S. households are underinsured and more likely to struggle with medical debt and unmet medical need, the Commonwealth Fund reports.

Aetna shareholders reject proposal to shine light on political contributions

By Bob Herman  |  May 20, 2015

Aetna shareholders voted against a measure that would have required the health insurance giant to disclose political donations made to not-for-profit groups. The vote still signals that many investors at Aetna and other large companies want more transparency for political spending.

Ruiz-Comas to retire as CEO of Blue Cross affiliate in Puerto Rico

Ruiz-Comas to retire as CEO of Blue Cross affiliate in Puerto Rico

By Bob Herman  |  May 18, 2015

Triple-S Management Corp. CEO Ramón Ruiz-Comas will retire next January, ending a 13-year tenure as the top executive of Puerto Rico's Blue Cross and Blue Shield health plan. The company operates in a territory that is often excluded from the broader healthcare reform debate.

UPMC says results unscathed by Highmark contract loss

By Melanie Evans  |  May 15, 2015

Pittsburgh's largest health system did not suffer greatly from its rancorous split last December from Highmark, the region's dominant health insurer. UPMC reported almost no change to patient revenue during the quarter that ended March 31 compared with the first three months of the prior year.

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