The comment period closed this week on the Obama administration's bold proposal to rewire how Medicare pays for outpatient drugs, and the CMS is under intense pressure to scrap it.
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.
The health insurance industry is calling for a more organized, cooperative approach to build on the Affordable Care Act. But large barriers stand in the way of getting to any kind of kumbaya moment.
Insurers Anthem, WellCare and their industry's lobbying group are asking the Federal Communications Commission to create guidance they hope will clarify whether they can reach out to their members via phone and text without getting hit by fines and litigation.
Implementing physician payment reform, dealing with changes in drug prices and adapting to alternative payment models will be on the agenda next week when America's Health Insurance Plans hosts its annual health policy conference in Washington, D.C.
Super Tuesday propelled businessman and reality TV star Donald Trump into a strong position to capture the Republican nomination for the White House.
For more than a year, top officials from Medicare, health plans, medical societies and employer and consumer groups hammered away at a dreadful task: getting everyone to agree to use identical quality measures for the treatment of common diseases and healthcare conditions. Now the real negotiations...
The Obama administration and health insurers took a step Tuesday toward standardizing and improving the measures that are intended to gauge the quality of healthcare but are widely criticized as too burdensome for providers and too numerous or irrelevant to be much help to consumers.
The CMS on Friday will unveil preliminary payment rates and policies for 2017 Medicare Advantage and Part D plans. And judging from the barrage of ads that have already come out, it's likely to be contentious.
America's Health Insurance Plans, the primary lobbyist for the health insurance industry, is funding a “seven-figure” ad campaign that targets Medicare Advantage and aims to put pressure on the Obama administration to stabilize funding for the private version of Medicare.
Former CMS chief Marilyn Tavenner discusses her move to head up America's Health Insurance Plans and the challenges faced by the group's members, which have struggled in the fledgling insurance marketplaces created under the ACA.
Podcast Q&A: Exchange strategy seeks 'getting the right steps in place to ensure long-term stability,' Tavenner says
In a podcast interview, former CMS chief Marilyn Tavenner discusses her move to head up America's Health Insurance Plans, the industry's leading advocacy group. She also addresses the challenges faced by the group's members, which have struggled in the fledgling insurance marketplaces created under...