All about medicine released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.
A lawsuit about to go to trial in Canada seeking to allow the sale of private plans raises questions about the growing Democratic push to adopt the Canadian-style single-payer model in the U.S.
A federal judge tossed the Department of Justice's suit claiming UnitedHealth Group scored millions in inflated Medicare Advantage payments, striking a blow against the feds' latest attempt to fight medical upcoding and alleged fraud.
Trust in health insurers continues to deteriorate, but that hasn't affected the organizations' bottom lines.
The employer-sponsored health insurance market is stable, the Kaiser Family Foundation and Health Testing & Educational Trust's latest employer health benefit survey found. Still, increased cost-sharing has left many employees unable to afford care.
The $3.75 billion deal will turn Fidelis Care into Centene's New York subsidiary and will bolster Centene's already large Medicaid membership and ACA exchange business.
With Evergreen Health's liquidation, just four of the initial 23 ACA health insurance co-ops will sell individual coverage in 2018.
Employers are still lukewarm on the concept of ACOs, and a Georgia flooring company has found success limiting cost growth without one.
Looking to lower healthcare spending, Anthem will no longer pay for MRIs delivered on an outpatient basis at hospitals. Some health systems collect more than half of their profit from imaging services.
Large employers are seeing a 5% increase in healthcare costs from last year. Similar increases have occurred over the past five years.
Dr. Patrick Conway, who has served with the CMS in various roles since 2011, will take over from the health plan's president and CEO, Brad Wilson, who is retiring.
The Bloomfield, Conn.-based insurer grew revenue and premiums in the second quarter of 2017, while its profit benefited from its terminated merger agreement with Anthem.