Membership in UPMC's health insurance division grew 8% in the past year, according to financial documents released Friday, giving UPMC a bigger foothold as it tries to operate peacefully with its rival Highmark Health.
Piedmont Healthcare in Atlanta has signed a three-year contract with UnitedHealthcare after previously warning its commercial members that they would be treated as out-of-network patients. A two-month stalemate as the system negotiated its contract with the insurer caught customers in the middle.
Dignity Health has answered a federal discrimination lawsuit filed by a transgender nurse by arguing that civil rights law does not require its self-insured employer health plan to cover gender reassignment-related care.
Commentary: New public-private shared-risk partnership model could revive public insurance exchanges
When it comes to the public insurance exchanges, there is no shortage of issues. The approximately 12 million enrolled is far lower than originally projected. Medical costs are 22% higher. Major insurers are defecting. A new public-private partnership model is needed.
The EpiPen controversy has injected new fuel into the policy and political debate over drug costs. But it also suggests drugmakers have been slow to adapt to an environment in which millions of Americans pay thousands of dollars out of pocket before their insurance kicks in.
The CMS proposed rules Monday afternoon that would make several changes to the Affordable Care Act marketplaces and refine the law's risk adjustment, heeding calls from the health insurance industry.