- Gregory A. Freeman, February 21, 2018
California state regulators are investigating Aetna's coverage decisions and whether physicians properly review claims. The concerns may be overblown, however.
- Gregory A. Freeman, January 24, 2018
The health plan denies payment if a patient goes to an emergency department and the diagnosis is not a true emergency.
- Gregory A. Freeman, January 3, 2018
Health plans face challenges such as an influx of people into Medicare and more pressure to participate in risk-based contracts. The uncertainty that complicated health plan strategies in 2017 will continue this year and could accelerate.
- Gregory A. Freeman, January 2, 2018
Blue Cross Blue Shield health data were combined with information on social determinants of health. The result illustrates how the factors affect commercially insured Americans county-by-county.
- Gregory A. Freeman, March 14, 2018
The companies' proposed merger could be closely scrutinized. Cigna is looking to increase purchasing power, particularly with specialty drugs.
- Gregory A. Freeman, February 28, 2018
The proposed rule on short-term plans hinges on the issue of renewability.
- Gregory A. Freeman, January 31, 2018
Doctors are ordering more advanced laboratory and genetic tests than ever before, and the reimbursement cost can hit health plans hard. Expenses can be cut without harming patients, one expert says.