Hold on to your seats and gear up for the most dramatic changes the health insurance industry has faced yet, says Aegis Health Group CEO Phil Suiter, in an exclusive interview with The Tennessean.
As the healthcare industry as a whole is moving toward a more consumer-centric mindset, this does not bode well for insurers who offer a list of only narrow-network providers.
Some state officials want more regulatory authority over Medicare Advantage plans. Right now, state regulators can't impose sanctions on Medicare Advantage plans; only the Centers for Medicare & Medicaid Services has that power.
Insurers hoping to have the option of selling a new plan on the health insurance exchanges just got a boost for their cause: The so-called "copper plans" could reduce federal healthcare spending by $5.8 billion over the next 10 years, according to an analysis released Tuesday from Avalere Health.
Thinking outside of the box has helped two wellness programs achieve success, including lowering claims costs and helping participants lose weight.
The Affordable Care Act is sparking competition among healthcare insurers and providers, as insurers make moves to become healthcare providers, reports NPR.
Accountable care organizations often involve high-need, high-cost patients, which can make for a very expensive and challenging program to manage. But a team of researchers has identified effective ACOs that successfully implement complex care management (CCM) interventions that insurers and providers can use to bolster their own programs, lower costs and improve care.
As insurers are covering more preventive tests and screening, as required by the Affordable Care Act, two financial experts question whether such coverage actually incurs additional costs for the companies.
More young adults have been receiving treatment for mental health conditions since the ACA allowed them to remain on their parents' plans until they turn 26 years old.
Non-profit insurers will soon be the dominating type of insurance company due to competition fostered by the Affordable Care Act, says industry watchdog Wendell Potter. If for-profit insurers want to remain viable in the post-ACA market, the former Cigna exec says they must diversify by operating outside the United States and expanding their business lines.
A new analysis shows healthcare payers may face a rocky road as recent legal battles continue to brew over ACA subsidies.
Over the years, insurers have tried--with varying degrees of success--to rein in prices and moderate the costs of prescription drugs. But to ensure consumers can afford speciality tier drugs, a new issue brief from the Robert Wood Johnson foundation recommends payers team up with state and federal regulators to combat the soaring prices.
UnitedHealth is top dog when it comes to Medicare Part D presence in the U.S. health insurance market, according to a new study from the Kaiser Family Foundation.
Implementation of the Affordable Care Act was meant to stop insurers from discrimination against consumers with pre-existing or expensive-to-treat conditions. Yet many critics worry new barriers from healthcare insurers continually lead to certain bias, reports the Associated Press.
Top 10 executives at Blue Cross and Blue Shield of Alabama earned an additional $1 million each in 2013, and collectively have doubled their pay since 2011, according to an article on Al.com.
For the past year, opposition to the Affordable Care Act--implemented back in 2010--has been above 50 percent. Once again, according to the latest Fox News poll, this continues to be true.
What does a $1,600 custom-made diaper rash treatment, $8,500 scar-reduction cream and a $2,300 pain-relieving salve all have in common? Their price tag, and more often than not, healthcare insurers are left to pick up the expensive bill for compounded medicines, reports the New York Times.
Despite providing coverage to more than 10 million previously uninsured Americans, the Affordable Care Act will face hurdles once November rolls around, reports the Huffington Post.