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Centene accused of hiding Health Net problems in investor lawsuit

Centene accused of hiding Health Net problems in investor lawsuit

By Shelby Livingston  |  December 18, 2018

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 insurance on demand? Some are betting on it

Health insurance on demand? Some are betting on it

By Associated Press  |  December 17, 2018

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, Envision renew contract after ED billing dispute

UnitedHealthcare, Envision renew contract after ED billing dispute

By Shelby Livingston  |  December 11, 2018

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 finally sheds its health insurance business

Tenet Healthcare finally sheds its health insurance business

By Shelby Livingston  |  December 04, 2018

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.

Oscar Health expands network for small biz

Oscar Health expands network for small biz

By Jonathan LaMantia  |  November 28, 2018

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, Empire BCBS reach contract

New York-Presbyterian, Empire BCBS reach contract

By Jonathan LaMantia  |  November 28, 2018

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.

CMS has a plan if federal judge strikes down ACA

CMS has a plan if federal judge strikes down ACA

By Virgil Dickson  |  November 27, 2018

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.

Data Points: Open season for direct contracting

Data Points: Open season for direct contracting

By Modern Healthcare  |  November 24, 2018

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.

CVS-Aetna merger OK'd by California regulators

CVS-Aetna merger OK'd by California regulators

By Shelby Livingston  |  November 15, 2018

California regulators approved the $69 billion CVS-Aetna merger with conditions. CVS leadership recently said the deal was on track to close by Thanksgiving.

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