Gregory A. Freeman is a contributing writer.
A not-for-profit health system in Florida is launching its own Medicare Advantage plan. The local market has plenty of competition but the system sees the health plan as the right move.
Consumers may be abusing an ACA provision that allows them to re-enroll after their coverage was terminated for nonpayment, a government report says. The practice may undermine the stability of the healthcare insurance exchange.
PBMs, retailers, and providers are getting together to integrate health plans, with Walmart-Humana taking mergers to another level of complexity and transformation, says one healthcare consultant.
Waiting for prior authorization decisions for some medical care is not only irksome but can be dangerous to patients. Health plans are loosening the reins a bit.
Consumers may spend more and get lower-quality care when trying to navigate the healthcare system on their own. Everyone may benefit when insurers guide them.
Insurance claims for urgent care exploded over a nine-year period, rising much faster than claims for emergency care.
Even as insurers see improvements and cost savings from value-based arrangements, they have to look for new ways to implement the strategy.
The companies' proposed merger could be closely scrutinized. Cigna is looking to increase purchasing power, particularly with specialty drugs.
The collaboration is intended to benefit consumers in several ways. The groups also are promoting the move to value-based care.
A new study shows that a government program for managing chronic care cuts costs while also improving care for the chronically ill.