The driving force behind the marriage of the No. 3 health insurer and the pharmacy giant is the appeal of steering patients to lower-cost care via 1,100 CVS walk-in clinics. Nearly 70% of the U.S. population lives within 3 miles of a CVS pharmacy.
Anthem's deal with Aspire Health marks another in a slew of provider purchases by insurers aiming to reduce costs by shifting care away from costly inpatient settings.
Brian Pieninck succeeds Chet Burrell, who announced his retirement from the Baltimore-based insurer in September last year.
The U.S. Justice Department charged a former investigator for health insurer Anthem Blue Cross, a physician and three others for submitting false claims to insurers.
The Affordable Care Act remains an election talking point, but lawmakers are shifting their policy focus to the Trump administration's agenda as states take the reins on the exchanges.
NYC Health & Hospitals and UnitedHealthcare are heading to arbitration over $11.5 million in denied inpatient medical claims. Most were for emergency care for patients covered by UnitedHealthcare's Medicaid and Medicare programs.
The U.S. clung to its health insurance gains last year, an unexpected outcome after President Donald Trump's repeated attempts to dismantle the Obama-era coverage expansion, according to a major government survey released Tuesday.
Providers, advocacy groups and some policymakers are pressing for stronger enforcement of mental health parity laws. But congressional Republicans and Democrats disagree about giving the federal government more enforcement power.
David Cordani doesn't view Cigna as merely a health insurer. The Bloomfield, Conn.-based company, he said, is in the business of delivering "health services." The proposed $54 billion purchase of Express Scripts falls in line with that, he argued.
Samantha Huntley had been struggling with heroin addiction for several years. After a month of residential treatment, Huntley and her counselor called her mother to say the family's insurer, UnitedHealthcare, would not extend inpatient coverage.
The CMS has denied Ohio's request to become the first state to waive the individual mandate for health insurance coverage. Federal officials said the request did not meet guidelines to ensure that no one would lose benefits.
Professional services firm Aon announced Thursday it has partnered with two companies to help self-insured employers consider cost and quality of surgical procedures when they negotiate with providers.