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AHIP starts early with Medicare Advantage political pressure

AHIP starts early with Medicare Advantage political pressure

By Bob Herman  |  January 28, 2016

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.

Q&A: Marilyn Tavenner on AHIP's way forward

Q&A: Marilyn Tavenner on AHIP's way forward

By Modern Healthcare  |  January 23, 2016

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.

Tavenner slams CMS for Medicare Advantage underpayments

Tavenner slams CMS for Medicare Advantage underpayments

By Virgil Dickson  |  January 23, 2016

The CMS’ previous administrator, Marilyn Tavenner, criticized the agency after an analysis showed it has underpaid Medicare Advantage plans for the costs of treating individuals with chronic conditions.

Tavenner slams CMS over Medicare Advantage underpayments

Tavenner slams CMS over Medicare Advantage underpayments

By Virgil Dickson  |  January 22, 2016

Former CMS Administrator Marilyn Tavenner is criticizing the agency after a new analysis shows it is underpaying Medicare Advantage plans for the costs of treating individuals with multiple chronic conditions.

10 to watch for 2016

10 to watch for 2016

By Merrill Goozner  |  January 09, 2016

Big insurance mergers, the evolution of the nation's delivery systems, the direction of drug and device regulation—these are some of the more important issues we'll be covering this year, and they drove our decisions on which people to watch in 2016.

Big insurer defections signal AHIP's fading clout

Big insurer defections signal AHIP's fading clout

By Bob Herman  |  January 09, 2016

Aetna's departure from AHIP months after UnitedHealth Group bolted is further evidence that the large national insurers are increasingly happy to fight their own battles on Capitol Hill, such as shepherding their pending mega-mergers and negotiating changes to the ACA marketplaces.

High drug prices will be a big political issue in 2016

High drug prices will be a big political issue in 2016

By Steven Ross Johnson  |  January 01, 2016

High prescription drug prices will be a top-tier political issue in 2016 as the expected introduction of many expensive specialty medications to treat chronic conditions threatens to drive up healthcare spending.

Q&A: Doctor turned insurer CEO says Drug pricing 'immoral and often illegal'

Q&A: Doctor turned insurer CEO says Drug pricing 'immoral and often illegal'

By Modern Healthcare  |  December 19, 2015

Dr. John Bennett, president and CEO of Capital District Physicians' Health Plan, has emerged as one of the more outspoken board members of America's Health Insurance Plans. He says the public shouldn't think of Martin Shkreli and Turing Pharmaceuticals as an isolated case.

Strengthen palliative care to help build a more patient-centered system

Strengthen palliative care to help build a more patient-centered system

By Mark Ganz  |  November 21, 2015

It was as a son, not a healthcare CEO, that I experienced the pain of my mom's “do not resuscitate” order being ignored. Her medical team pushed through the door and subjected her to a full code, against her wishes, the night her heart beat for the last time.

'There is tremendous profit-taking going on in healthcare'

'There is tremendous profit-taking going on in healthcare'

By Modern Healthcare  |  October 24, 2015

Dr. Michael Cropp, president and CEO of Independent Health, a not-for-profit health insurer based in Buffalo, N.Y., discusses surprise medical bills, how his plan reduced premiums this year and his views of prescription drug prices. He spoke with Modern Healthcare reporter Bob Herman.

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