The Pennsylvania Supreme Court reversed a lower court's ruling that UPMC had to cover Highmark Medicare Advantage members in-network through 2019, marking the end of a long-standing feud between the state's largest health system and insurer.
Anthem's policy led to a big spike in coverage denials among ED patients in three states last year, according to a senator's report. But Anthem ended up reversing the majority of denied claims that patients appealed.
A federal judge blocked the proposed $54 billion tie-up between national insurers Anthem and Cigna late Wednesday, saying the combination would harm competition in the national employer market.
Between 2010 and 2017, more than 19 million people moved from the ranks of the uninsured to insured. With the 2019 open-enrollment season fast approaching, here's a look at some key demographic data.
The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act's risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.
The CMS sent a rule to the White House for review that may resume risk-adjustment payments to insurers. Patient advocates have claimed the agency was trying to sabotage the insurance exchanges by eliminating billions in payments.