HealthCare.gov may still have security holes, according to a report from the Government Accountablity Office.
Payers have faced allegations of discriminating against patients with certain health conditions; a violation under the Affordable Care Act. But some insurers are finding ways around the provision by shifting more of the cost of prescriptions onto consumers.
The health insurance payment system is broken and the Affordable Care Act, which was supposed to lower costs, is actually contributing to the problem, MVP Health Care CEO Denise Gonick, told the Albany Business Review.
If insurers pay doctors to discuss death and end-of-life care with their patients, this may significantly reduce unnecessary spending and lower healthcare costs, according to a recent report from the Institute of Medicine.
When it comes to purchasing and selling health plans, consumers and payers start the experience clock ticking at different times. For consumers, the experience begins the minute their insurer picks up the phone. That's not always the case for payers--but it should be, consumer engagement experts say.
Massachusetts health insurers filed complaints with Attorney General Martha Coakley's office Monday, claiming that Partners HealthCare's supposed acquisitions of three hospitals would raise costs for consumers, reports the Boston Globe.
Anthem Blue Cross and seven hospital groups in the highly-competitive Los Angeles market announced today that they'll form a partnership to provide a high-quality, cost-effective care.
Insurers be warned: Many corporate executives are mulling whether they can provide their employees with higher-quality and more cost-effective healthcare without going through an insurance company.
There have been a lot of changes to Medicare Advantage plans of late--UnitedHealth dropped providers in Alabama, Humana lost a big provider contract and MVP Health Care is discontinuing two of its plans.
Aetna and the Blue Cross Blue Shield Association are joining forces with some of the biggest companies to urge the entire business community to embrace wellness programs as a way to lower healthcare costs and boost employee health.
Nearly 115,000 individuals could lose their health coverage on October 1 because they failed to provide documents proving they are United States citizens or legal immigrants.
Private exchanges are shaping up to be a major player in the healthcare industry--they now cover more than 1.5 million people. Philadelphia-based Independence Blue Cross is the latest entry into the market sector.
When consumers used UnitedHealth's price transparency tools, they were able to comparison shop for lower costs and search for high-quality providers, according to a new study of the insurer's myHealthcare Cost Estimator (myHCE).
Humana led all health insurers on online health insurance advertising spending, shelling out $4.2 million for paid search ads in the first six months of 2014. The data is based on a new report that examined Google AdWords activity for desktop and tablet searches of more than 6,000 health insurance-related keywords from January to June 2014.
When it comes to high-priced clinical treatments with murky evidence of effectiveness, proton beam therapy takes the cake. As hospitals rake in the profits, payers are left with the bill for a treatment that can cost $30,000 more than other types of radiation therapies.
Many states avoid paying their share of Medicaid expenses, an issue the U.S. Department of Health and Human Services has known about for more than a decade, according to the Washington Post.
When Aetna announced it was shuttering its CarePass mobile platform by the end of the year, industry experts have been left wondering what caused the demise of CarePass and whether other insurers' mobile engagement initiatives could suffer a similar fate. To gain exclusive insight into Aetna's decision to close its CarePass mobile platform and learn where the company plans to take its mobile health strategy in the future, FierceHealthPayer spoke with Michael Palmer, Aetna's chief innovation & digital officer.
Five hotly contested governor races could have a big impact on Medicaid expansion. If the Democrats take Florida, Maine, Kansas, Wisconsin and Georgia, an additional 1.7 million people would likely become eligible for Medicaid coverage.
As the trend toward hospital mergers and acquisitions continues, America's Health Insurance Plans is pushing back against consolidation, saying it jeopardizes insurers' attempts to move toward a value-based reimbursement system
In an exclusive interview with FierceHealthPayer, Harry Greenspun, M.D., director of Deloitte's Center for Health Solutions, explains what technology like the new Apple watch means for payers.