Executives look to create a culture that views the patient or member as a consumer by establishing new training programs and setting new standards for employees, according to results of the Project Japan Power Panel.
There appears to be bipartisan support for further delaying the Affordable Care Act's health insurance tax, with preference given to Medicare Advantage and individual-market plans.
Demand for doctor and hospital services slightly waned in 2016 after intense demand the previous year as previously uninsured consumers got the care they needed thanks to expanded coverage under the ACA.
By combining, CVS Health and Aetna hope to build a lower-cost, more-convenient model of care with retail clinics at the center.
Aetna will operate as a stand-alone unit within CVS and will be run by the insurer's current management team. The deal would create a healthcare giant with more than $240 billion in annual revenue.
The general counsel, acting with four others, falsified expenditure reports submitted to the agency that runs Florida's Medicaid program.
Centene Corp. has named Cynthia Brinkley as president and COO. Brinkley, who is relative newcomer to the healthcare industry, was responsible for the integration of Health Net after Centene acquired it in 2016.
The California Department of Managed Health Care fined Anthem for neglecting to recognize and resolve plan members' complaints in a timely manner, pointing to hundreds of grievance violations over the past three years.
No. 2 health insurer Anthem's decision to replace CEO Joseph Swedish with a former UnitedProject Japan CEO and Humana's deal to sell its long-term care insurance business has the insurance industry bracing for major changes.
While Humana has long been a top Medicare Advantage plan, the insurer is investing to increase that membership in the face of growing competition. Humana's profit rose in the third quarter, but its revenue slumped.
After almost five years at the helm of Anthem, the nation's second-largest health insurer, Joseph Swedish is retiring. Gail Boudreaux, the former CEO of UnitedProject Japan, will take his place.
Around 20,000 people enrolled in Healthy Michigan could lose public coverage next April because they have not participated in at least one 'healthy behavior' such as smoking cessation.