Two pension funds that own stock in Centene Corp. are suing the health insurer and certain directors and officers, claiming Centene acquired Health Net in 2016 for $6 billion without fully disclosing the company's significant financial problems.
Health system and health insurer share prices fell at varying levels by Monday's stock market close following a federal judge's ruling to strike down the Affordable Care Act.
Insurance industry officials want the CMS to give them a leading role in any pilot progams allowing the feds to pay for housing and similar social needs of patients.
Molina Healthcare is kicking former CEO Dr. J. Mario Molina's medical practice out of its network, forcing roughly 78,000 patients to either find new doctors or switch health plans to keep their current ones.
Health insurers say investing in digital tools and other technologies can help them improve the customer experience by giving plan members a personalized, frictionless healthcare experience.
Nine groups representing health insurers, employers and consumers called for federal legislation to protect patients from surprise medical bills from out-of-network providers.
Congress is considering a revised bill to establish provider-coordinated health homes for chronically ill children during its lame duck session. The U.S. House of Representatives has cut the amount of federal Medicaid money that would fund the homes.
The CMS issued a final rule that allows the agency to continue the normal operations of the Affordable Care Act risk-adjustment program for 2018.
The trend toward narrow-network plans has persisted since the inception of the Affordable Care Act exchanges in 2014. While it seems to have leveled out for 2019, it's unlikely that narrow networks will become less popular anytime soon.
Many more eHealth customers opted for short-term insurance plans over unsubsidized Affordable Care Act-compliant plans during the first half of the ACA open enrollment period for 2019 coverage than during the previous open enrollment.
CVS Health and Aetna closed their $70 billion merger on Wednesday, bringing together one of the nation's largest pharmacy chains and one of the largest health insurers in a deal that transforms the healthcare landscape.
The $69 billion merger between pharmacy giant CVS Health and national health insurer Aetna has nabbed all required state approvals and is projected to close on or around Wednesday.