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.
On-demand insurance lets customers buy some of their coverage only if and when they need it, similar to how TV viewers might rent a new release from Amazon instead of paying every month for a pricey cable package they rarely use.
UnitedHealthcare and physician staffing company Envision Healthcare have renewed their contract for 2019, resolving a dispute over Envision's ED billing practices that threatened to leave patients on the hook for surprise out-of-network medical bills.
Tenet Healthcare Corp. sold its small Medicare Advantage plan serving California seniors—marking the Dallas-based hospital system's exit from the health insurance business, first announced in 2016.
A federal judge is set to decide how much flexibility insurers that administer self-insured health plans have in limiting coverage for treatment of mental health and substance use disorders.
Oscar Health will debut a product called Circle Plus for small businesses in 2019 that adds three major providers to its network—Northwell Health, Memorial Sloan Kettering and Westmed Medical Group.
New York-Presbyterian and Empire Blue Cross and Blue Shield have agreed to a multiyear deal to keep the 10-hospital health system in Empire's network. The accord ends a public fight that stoked fears that about 300,000 NYP patients would face higher out-of-network charges next year.
Magellan Health announced early Wednesday that the CEO of its managed-care division, Sam Srivastava, is being "terminated without cause" on Dec. 28.
CMS Administrator Seema Verma wants to reassure individual market enrollees that they won't lose access to care if a federal judge in Texas strikes down the Affordable Care Act.
Open enrollment is coming to a close for most employer-sponsored health plans. Though the percentage is still small, more and more companies are turning to direct contracting in benefit design.
California regulators approved the $69 billion CVS-Aetna merger with conditions. CVS leadership recently said the deal was on track to close by Thanksgiving.
Health plan design principles issued by a multistakeholder group that includes Aetna and the Cleveland Clinic stress the need for engaging consumers to improve health outcomes but don't address the growing use of high deductibles.