A new analysis in the New England Journal of Medicine found insurers may not offer a set of new benefits outlined in the Chronic Care Act to avoid chronically ill patients from joining their Medicare Advantage Plans.
The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.
Anthem's deal with Aspire Health marks another in a slew of provider purchases by insurers aiming to reduce costs by shifting care away from costly inpatient settings.
The U.S. Justice Department charged a former investigator for health insurer Anthem Blue Cross, a physician and three others for submitting false claims to insurers.
The CMS has denied Ohio's request to become the first state to waive the individual mandate for health insurance coverage. Federal officials said the request did not meet guidelines to ensure that no one would lose benefits.
Professional services firm Aon announced Thursday it has partnered with two companies to help self-insured employers consider cost and quality of surgical procedures when they negotiate with providers.
The quarterly profit—the first Oscar has reported since launching five years ago—signals that the health insurer's strategy of creating narrow networks through partnerships with major brand-name hospital systems may be a winner.
Molina has been putting together a new team of experienced Medicaid executives to help turn the struggling insurance company around.
FDA Commissioner Dr. Scott Gottlieb said tweaking drug rebate laws that favor pharmacy benefit managers could be key to reducing drug prices.
Louisville, Ky.-based Humana reported higher revenue in the first-quarter of 2018 driven by higher membership in its Medicare Advantage business.
WellCare Health Plans' first-quarter 2018 profit soared as it kept Medicaid costs in check and grew Medicare Advantage membership after acquiring Universal American Corp.
Humana's incentive program will award hospitals annual rate hikes based on how they perform on measures assessing patient safety, experience and outcomes.