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Two states question Aetna's prior-authorization practices amid CVS merger

Two states question Aetna's prior-authorization practices amid CVS merger

By Shelby Livingston  |  February 13, 2018

A former Aetna medical director admitted he didn't review patient medical records when making treatment authorization decisions. That's put a microscope on insurers' processes and could thwart Aetna's proposed merger with pharmacy giant CVS Health.

Oscar Health drives membership growth through narrow network strategy

Oscar Health drives membership growth through narrow network strategy

By Shelby Livingston  |  February 06, 2018

New York-based insurer Oscar Health's individual membership surged to roughly 252,500 this year from about 100,000 in 2017. A narrow provider network with a big name health system at the center is the cornerstone of its strategy.

Health Plan Alliance president to retire

Health Plan Alliance president to retire

By Shelby Livingston  |  February 05, 2018

Cathy Eddy, founder and president of the Health Plan Alliance, is retiring at the end of April. Joe Lastinger, a former Baylor Scott & White Health executive, will take over as president effective immediately.

Cigna CEO sees opportunity in Amazon's new venture

Cigna CEO sees opportunity in Amazon's new venture

By Shelby Livingston  |  February 01, 2018

Cigna Corp. CEO David Cordani said there's opportunity for the insurer in the Amazon-JPMorgan Chase-Berkshire Hathaway venture. Meanwhile, the insurer reported that customer growth and higher premiums and fees helped boost its 2017 revenue.

Aetna's 2017 revenue and profit stumble

Aetna's 2017 revenue and profit stumble

By Shelby Livingston  |  January 30, 2018

In the midst of a push to combine with CVS Health, Aetna posted lower revenue in its fourth-quarter and full-year 2017 results as decreased premiums and fewer members in its Affordable Care Act individual and small group plans held down the top line.

Idaho to insurers: Give us plans that don't follow Obamacare

Idaho to insurers: Give us plans that don't follow Obamacare

By Associated Press  |  January 24, 2018

Concerned about soaring healthcare costs, Idaho revealed a plan that will allow insurance companies to sell cheaper policies that ditch key provisions of the Affordable Care Act. It's believed to be the first state to take formal steps without prior federal approval.

UnitedHealth revenue cracks $200 billion mark

UnitedHealth revenue cracks $200 billion mark

By Shelby Livingston  |  January 16, 2018

UnitedHealth Group's 2017 revenue surpassed $200 billion, while its profit more than doubled. On top of that, the No. 1 insurer will reap an extra $1.7 billion in 2018 earnings thanks to the Trump administration's tax overhaul.

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