News

Missouri regulators oppose Aetna-Humana merger

Missouri has become the first state to oppose the Aetna-Humana deal, which has gotten a green light from several other state regulators as it continues to undergo a federal review.

 

Report: Average ACA premium rate increase a 'fairly meaningless statistic'

Premiums for the lowest-cost insurance marketplace policies increased an average of 8.3 percent between 2015 and 2016, but the rates of increase vary tremendously across states and even within...

Anthem CEO Joseph Swedish: 'Dynamic tension' with Cigna won't derail merger

Amid reports that Anthem and Cigna leaders have been bickering over merger-related issues, Anthem CEO Joseph Swedish wants to assure investors that the transaction is progressing as planned.

 

More Americans receiving previously inaccessible care under ACA

More than 60 percent of consumers enrolled in Medicaid or Affordable Care Act (ACA) marketplace plans in 2016 said they had received medical care that was previously inaccessible or unaffordable, according to a Commonwealth Fund survey.

 

BCBS CEO: High-risk exchange customers create unsustainable losses

Sicker, more expensive patients are flooding the Affordable Care Act exchanges in North Carolina, driving up medical costs for insurers and creating "unsustainable" losses, Blue Cross Blue Shield of North Carolina president and CEO Brad Wilson says.

Health insurers not responsible for rising premiums, exec says

With just 10 percent of health insurance premiums going to health plans, blaming insurance companies for rising rates makes little sense, according to an opinion piece published in the Albany Business Review.

 

Analysis of proposed 2017 exchange premiums shows wide variation

Health insurers' proposed 2017 rates for the Affordable Care Act exchange plans so far exceed 2016 increases, but can vary widely by state.

Widening merger-review approach could stymie insurer deals

A shift in how antitrust officials examine the anticompetitive effects of mergers could add to the mounting challenges faced by the Aetna-Humana and Anthem-Cigna deals.

 

Anthem-Cigna discord compounds uncertainty over merger's future

Reports of behind-the-scenes bickering between Anthem and Cigna have reverberated in the stock market and raised further doubts about the likelihood the health insurers' merger will win approval.

 

AHIP: Case studies show insurers breaking ground in behavioral health coverage

A new report from America's Health Insurance Plans touts the "pioneering innovative programs" that insurers have deployed to meet patients' behavioral health needs.

Tech-savvy startup Clover Health raises $160M

Startup health insurer Clover Health has raised $160 million in Series C funding from private investors.

How United grew into a healthcare industry behemoth

Several strategic business decisions, including a restructuring that capitalized on a growing healthcare market, transformed UnitedHealth Group from a small healthcare IT company to the largest insurer in the country with nearly $160 billion in revenue, according to the Minneapolis Star Tribune.

 

Are loose special enrollment period rules to blame for premium hikes?

Special enrollment period policies that favored increasing enrollment over maintaining coverage are one of the main culprits behind expected double-digit premium increases in 2017, according to a Forbes contributed post.

 

Anthem, Cigna squabbles could threaten proposed merger

Tensions are rising between potential merger partners Anthem and Cigna, which could only make it more difficult for the two health insurance companies to win over federal regulators.

 

Highmark's risk corridor litigation: Other insurers could follow suit

After Highmark sued the federal government for $224 million in unreimbursed losses from its Affordable Care Act policies, there are signs other insurers may consider filing similar suits.

 

Most consumers happy with ACA plans

Two-thirds of individuals with marketplace plans or non-marketplace ACA-compliant plans rated their coverage as "excellent" or "good," according to a Kaiser Family Foundation survey.

UnitedHealth has exited 27 ACA marketplaces so far

UnitedHealth Group will not participate in New Jersey's Affordable Care Act health insurance exchange in 2017, bringing to 27 the number of state marketplaces the large insurer has departed, according to Bloomberg.

 

House Republicans propose 'world's greatest' ACA replacement plan

Rep. Pete Sessions (R-Texas) and Sen. Bill Cassidy (R-La.) have unveiled an ACA replacement they call the "World's Greatest Healthcare Plan." 

Scuttled Staples-Office Depot deal: Bad news for health insurer mergers

The demise of a proposed deal between Staples and Office Depot may be yet another sign that the two pending health insurer mergers are in for a tough regulatory review.

 

Hospitals driving force behind campaign lobbying against insurer mergers

A collection of state-based groups known as the Campaign for Consumer Choice is less a citizen-driven movement against health insurer mergers than it is a hospital industry-funded lobbying campaign, according to a report from STAT. But an antitrust lawyer involved in the campaign tells FierceHealthPayer that shouldn't really surprise anyone.