The health insurance mega-mergers proposed nearly a year ago may be entering their final months of regulatory review, and the road ahead could be rough.
Horizon Healthcare Services has invested in a small Cambridge, Mass.-based company that uses big data and computer modeling to help clinicians and researchers target treatments to individuals.
Anthem's legal strike against Express Scripts Holding Co. may spur other health insurance companies to re-evaluate their contracts with pharmacy benefits managers to see if they are getting shortchanged on drug savings.
In what would be the grandest about-face among rightward leaning states, Oklahoma is now moving toward a plan to expand its Medicaid program to bring in billions of federal dollars from President Barack Obama's new healthcare system.
Health insurers that sell plans with mandated benefits under the Affordable Care Act cannot require people to wait a certain amount of time before they can use those benefits, the CMS reiterated this week in a memo.