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March 25, 2017 01:00 AM

Narrower exchange losses put Highmark Health back in black, and more Northeast regional news

Modern Healthcare
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    Highmark Health, a Pittsburgh-based health plan that owns eight-hospital Allegheny Health Network, returned to the black last year after stanching losses that plagued it the year before.

    The Blues-affiliated plan in 2016 narrowed its losses on the Affordable Care Act individual insurance exchanges to $180 million, down 70% compared with exchange losses of $590 million in 2015.

    With other operating improvements across the system, Highmark posted an operating gain of $64 million in 2016, compared with an operating loss of $565 million the prior year. Revenue rose to $18.2 billion last year from $17.7 billion in 2015.

    Highmark's hospital and provider operations, Allegheny Health Network, reported a slightly higher operating loss of $39 million last year compared with $36 million in 2015. The wider losses were largely the result of spending on electronic health record systems and investing in physicians and key support staff.

    Inpatient and outpatient volumes also increased in 2016, Highmark noted.

    Highmark is suing the federal government to recover money owed under the risk-corridor program for plans sold on the ACA's insurance exchanges. The lawsuit, filed in the U.S. Court of Federal Claims, argues Highmark is owed at least $223 million in risk-corridor payments.—Dave Barkholz

    Makers of health apps settle with N.Y. attorney general

    The makers of three popular health-related mobile apps have reached settlements with the New York attorney general's office over allegations that they could have harmed consumers by giving them wrong or misleading results.

    Cardiio, Runtastic and My Baby's Beat will pay a total of $30,000 in penalties, and have agreed to change their marketing materials and privacy policies as part of the settlement. The apps claimed to measure vital signs and other key health indicators, but were not backed up by scientific testing and did not make it clear to users that the apps are not medical devices and are not approved by the U.S. Food and Drug Administration.

    The settlements come after a yearlong investigation of mobile health apps by New York state Attorney General Eric Schneiderman.

    Cambridge, Mass.-based Cardiio and Austria-based Runtastic had previously claimed that their apps could accurately measure a person's heart rate after vigorous exercise simply by using the iPhone's camera and sensors, but failed to test their apps for that purpose, according to the attorney general.

    Matis, the Israel-based developer of My Baby's Beat, claimed its app could turn any smartphone into a fetal heart monitor, despite the fact that the app has never been approved by the FDA.

    It's also never been tested in comparison to a fetal heart monitor, fetal Doppler or any other device scientifically proven to amplify the sound of a fetal heartbeat, the attorney general said.—Adam Rubenfire

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      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition (Web Version)
    • Digital Health
    • Insights
      • ACA 10 Years After
      • Best Practices
      • Special Reports
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      • Bold Moves
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      • Vital Signs Blog
      • From the Editor
    • Events & Awards
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        • Nominate/Eligibility
        • 100 Most Influential People
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        • Best Places to Work in Healthcare
        • Excellence in Governance
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top 25 Innovators
        • Diversity in Healthcare
          • - Luminaries
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          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Transformation Summit
        • Women Leaders in Healthcare Conference
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        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Supply Chain Revenue Cycle
        • - Hospital at Home
        • - Workplace of the Future
        • - Virtual Health
        • - Future of Healthcare Staffing
      • Custom Media Event: ESG Summit
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