News

Insurers, states strike hepatitis C deals with pharmaceutical companies

Both insurers and state Medicaid agencies are working to secure discounts on pricey hepatitis C drugs.

Anthem, insurers on board for value-based payments

As new payment methods gain traction, the nation's second-largest insurer is taking leaps and bounds to transition away from the traditional fee-for-service model toward value-based payments.

Anthem, Blue Shield top Covered California market share; Kaiser gaining

Anthem maintained its top spot on the Covered California insurance marketplace, followed by Blue Shield and a gaining Kaiser Permanente.

Nearly 30 million Americans remain uninsured

Nearly 30 million Americans remained uninsured in 2014, according to a new study from the Kaiser Family Foundation.

Fewer than half of private-sector workers now covered by employer-sponsored insurance

The Affordable Care Act in a post-recession era may be detrimental to employer-sponsored insurance, according to a new report from the Robert Wood Johnson Foundation.

New report finds insurers continue to discriminate against HIV enrollees

New evidence has surfaced that claims insurers continue to discriminate against costly, sick patients.

Wyoming preparing to expand Medicaid

Lawmakers in Wyoming will meet next week to hash out a compromise between two plans to expand Medicaid.

Medicaid expansion helps Anthem, UnitedHealth boost earnings

As insurers' stocks are hitting all-time highs, the nation's two largest insurers--UnitedHealth and Anthem--ended last year on a high note financially, with both reporting better-than-expected earnings for the fourth quarter last year.

Insurers explain why they opted out of public exchanges

To sell or not to sell? That was the question insurers faced when they had to decide whether or not to sell plans on the Affordable Care Act's public exchange during open enrollment.

Cigna's purchase of QualCare to heat up competition in New Jersey, nationally

Top insurer Cigna announced Monday its decision to purchase New Jersey's only hospital-owned source of health insurance, QualCare. The purchase that will make the newly formed company one of the largest insurers in New Jersey.

HHS: 9.5 million Americans have health insurance from public exchanges

More than 9.5 million Americans have purchased health insurance or been automatically reenrolled in plans during the second enrollment period for the Affordable Care Act exchanges.

Report questions financial viability of CO-OPs

Consumer operated and oriented plans might be in financial trouble, based on a new report that all but one of the 24 nonprofit insurers created under the Affordable Care Act experienced losses through the third quarter of last year.

Are insurers quietly dropping small businesses?

As insurers reap financial benefits from the Affordable Care Act, many appear to be raising rates for small employers to the point that they can no longer afford to provide benefits.

Indiana latest state to expand Medicaid

Indiana is the 28th state, plus the District of Columbia, to expand Medicaid under the Affordable Care Act, the Centers for Medicare & Medicaid Services announced yesterday.

Ohio sues Obama administration over ACA tax on public health employee plans

Ohio Attorney General Mike DeWine (R) has sued the Obama administration, alleging that Affordable Care Act tax assessments against state and local governments for public health employee plans are unconstitutional.

Glitch leaves thousands of Pennsylvania Medicaid beneficiaries without substance abuse treatment

Thousands of Pennsylvania residents are unable to receive treatment for addiction and mental health-related issues thanks to a glitch that occurred back in December.

Anthem to pay $500M for hybrid cloud from IBM

Anthem has signed a five-year, $500 million hybrid cloud deal with IBM. Under the agreement, the Big Blue of technology will help the Big Blue of healthcare manage IT operations.

CBO: Uninsured rate dropping, subsidized coverage costing government less

There's good news from the latest Congressional Budget Office projections regarding the federal budget deficit--and a slowdown in healthcare spending growth is a big part of the reason why.

Insurers fear shorter exchange enrollment period could hurt recruitment

Although insurers are still signing up new consumers for the current health insurance exchange enrollment period, they're starting to focus on next year's enrollment process to hopefully ward off major difficulties.

Redefining wellness as well-being could help programs succeed

Amid lawsuits challenging wellness programs that penalize non-participants and general questions about the return on investment of such programs, a movement is afoot to recast wellness as well-being.