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Justice Department OKs CVS-Aetna merger with divestiture

Justice Department OKs CVS-Aetna merger with divestiture

By Shelby Livingston  |  October 10, 2018

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.

Private Medicare insurers struggle with prescription drug plans

Private Medicare insurers struggle with prescription drug plans

By Shelby Livingston  |  October 10, 2018

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 CFO Shawn Guertin to step down next year

By Shelby Livingston  |  October 10, 2018

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.

UnitedHealth warns hospitals over Envision contract

By Shelby Livingston  |  September 25, 2018

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.

Blue Cross takes aim at 'well-being'

Blue Cross takes aim at 'well-being'

By Jay Greene  |  September 24, 2018

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.

Cigna-Express Scripts deal reflects industry in transition

Cigna-Express Scripts deal reflects industry in transition

By Shelby Livingston  |  September 22, 2018

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.

Some startup insurers are ditching the deductible

Some startup insurers are ditching the deductible

By Shelby Livingston  |  September 15, 2018

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.

All-payer claims databases: a work in progress

All-payer claims databases: a work in progress

By Tara Bannow  |  September 15, 2018

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.

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