The U.S. Justice Department greenlighted the merger between CVS Health and Aetna with a condition: that Aetna divest its Medicare Part D business to WellCare Health plans. That alleviates the federal government's competition concerns.
The average star-ratings performance of stand-alone Part D plans, which are managed by pharmacy benefit management companies and health insurers, has bobbled up and down for years. Part D plans fared worse in 2019 than they have in the last five years.
Aetna Chief Financial Officer Shawn Guertin, who was slated to become the CFO of CVS Health after the two companies' merger was completed, will instead leave the company in June 2019.
Consumers blame insurers and hospitals for surprise bills. Lawmakers and regulators appear ready to address the problem since the industry hasn't.
If UnitedHealth and Envision don't reach a deal to extend their contract beyond Dec. 31, patients who visit emergency departments or certain other hospital departments staffed by Envision physicians could receive big out-of-network bills.
On Jan. 1, Blue Cross Blue Shield of Michigan plans to roll out a new virtual well-being program to complement its online wellness and health education programs.
The need to tame healthcare spending and stay on top of potential competition has led health insurers to pair up with nontraditional partners. Here's how the five dominant national insurers are reshaping themselves and the industry.
Medicaid, the 50-year-old federal-state health coverage plan for the poor, has devolved into a political inter-industry feud in the impoverished Mississippi Delta. What does the fight foretell about the Medicaid industry and how it treats the nation's poorest?
Maryland joins several states that have implemented reinsurance programs to help stabilize their individual insurance markets in the face of rising premiums and shifting market rules.
Cigna and Express Scripts still must secure certain state regulatory approvals to complete the deal, but the nod from the federal antitrust enforcers takes care of the biggest hurdle.
Two health insurance startups that are ditching high-deductible plans in favor of straightforward copays illustrate a growing sentiment that having patients pay more out of pocket won't tame rising healthcare costs and could harm patients' health.
Although 16 states have all-payer claims databases, there's no evidence they have helped lower healthcare costs. Advocates say the databases should empower lawmakers and consumers by providing reliable data.