Armed with comprehensive data, insurers are ramping up their efforts to control costs through population health management.
The 1.4 million Californians who buy coverage on the state's individual insurance exchange will pay more in 2019 in part because the federal government zeroed out the federal penalty for not enrolling in coverage.
UnitedHealth Group kicked off the second-quarter earnings season on Tuesday, reporting higher revenue and profit as its insurance arm grew Medicare Advantage and Medicaid membership.
It's no surprise that labor costs are top of mind for chief financial officers. But with historically low unemployment numbers, that budget line item looms even larger as organizations try to figure out new strategies to not just recruit, but, more importantly, retain workers.
To some, the influx of more for-profit plans in Minnesota adds welcome competition to an already competitive market. But others are wary and cautiously watching to see if the profit motive will endanger patients.
Health insurer exits from the exchanges, expensive premiums and limited commissions for those who enroll individuals in exchange plans have driven brokers and agents out of the market, the CMS said.
For the first time in the AMA's history, the group elected women as president and president-elect. Dr. Patrice Harris will be the next president after Dr. Barbara L. McAneny serves a year in the top office.
AHIP's focus on issues like food, housing and transportation—factors experts say have a profound impact on a patient's health—showed insurers are beginning to pay attention to what happens outside of the hospital, even if returns are still hard to measure.
Antitrust experts and healthcare provider representatives questioned the promised benefits of a proposed merger between pharmacy chain CVS Health and insurer Aetna during a hearing before the California insurance commissioner.
Although a federal appeals court ruled that health insurers aren't entitled to $12.3 billion in unpaid risk-corridor payments, some disappointed insurers indicated they aren't giving up their quest to secure the funds.
Some health insurers have said they don't expect many members to drop coverage once the individual mandate penalty is zeroed out. But they still may raise 2019 premiums because of effects on the ACA's risk-adjustment program.
Health insurers have been buying physician practices for decades. The Affordable Care Act was expected to prompt a surge of such purchases. While that never fully materialized, some pretty significant deals emerged.