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Medtronic inks outcome-based contract with Aetna for insulin pumps

By Alex Kacik  |  June 26, 2017

Medtronic and Aetna announced a new risk-based agreement for Type 1 and Type 2 diabetes patients who transition to Medtronic's insulin injectors. The deal aims to increase accountability and lower costs by tying reimbursement to outcomes.

Insurers' losses on ACA plans narrow in 2016

By Shelby Livingston  |  June 23, 2017

Insurers' margins on individual insurance plans improved in aggregate in 2016 over 2015. But their losses still totaled billions of dollars.

Senate healthcare bill is a boon for many insurers, except Medicaid plans

Senate healthcare bill is a boon for many insurers, except Medicaid plans

By Shelby Livingston  |  June 22, 2017

Senate Republicans' bill to repeal and replace the Affordable Care Act may be enough to keep insurers from exiting the exchanges in 2018. But Medicaid insurers warn the bill's caps on federal spending in that program would compel them to cut services and reduce provider reimbursement rates.

While others jump ship, Oscar Health bets on Obamacare

While others jump ship, Oscar Health bets on Obamacare

By Shelby Livingston  |  June 21, 2017

While many insurers are retreating from the individual insurance market, Oscar thinks its tech-driven insurance products and concierge-style member experience will help the company thrive in a time of regulatory uncertainty.

Dozens of counties lack an insurer ahead of HealthCare.gov rate-filing deadline

Dozens of counties lack an insurer ahead of HealthCare.gov rate-filing deadline

By Shelby Livingston  |  June 20, 2017

Insurers must say Wednesday whether they plan to sell coverage on the Affordable Care Act's insurance exchanges next year. The deadline is the first look at the state of the federal marketplace for 2018: how much rates could go up and which counties are at risk of having no insurers.

HealthPlus' integration into Henry Ford's HAP a turnaround story

HealthPlus' integration into Henry Ford's HAP a turnaround story

By Jay Greene  |  June 19, 2017

As its former CEO, Dr. Michael Genord, oversaw the effort to turn around the financial and operational health of Flint-based insurer HealthPlus of Michigan before the commercial and Medicare business was sold to Health Alliance Plan. As CEO of HAP Midwest Health Plan, Genord was again a key player.

CMS lifts Medicare Advantage sanctions on Cigna

CMS lifts Medicare Advantage sanctions on Cigna

By Shelby Livingston  |  June 16, 2017

Bloomfield, Conn.-based Cigna may immediately resume marketing its Medicare Advantage plans and enrolling members. Insurance industry analysts noted that the lifted sanctions pave the way for Cigna to pursue an acquisition in the lucrative Medicare Advantage segment.

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