health insurance
publication date
Strategy
Anthem, Cigna Await Delaware Court's Ruling
Cigna claims that it's owed around $16 billion as the injured party in the deal, while Anthem says it's owed...
Broker Websites Expand Health Plan Shopping Options While Glossing Over Details
Consumers who use alternative portals don't have the same shopping experience as applicants accessing state or federal marketplaces.
Innovation
Involve Docs in Using Health Data, Expert Tells Health Insurers
The reams of data on patient healthcare won't do any good if it's not given to clinicians to act on...
Finance
Medicaid Work Requirements Could Cost Hospitals $3.7B
Work requirements could shrink Medicaid rolls and increased uncompensated care costs for hospitals in states that implement them.
Texas Hospital Ex-CEO Pleads Guilty in Fraud Scheme
The former leader of Palo Pinto General Hospital and his coconspirators used the hospital's national provider ID to submit fraudulent...
Innovation
New Health Plans Expose The Insured To More Risk
New types of insurance plans are sprouting up as employers face rising costs and individuals who buy their own coverage...
Strategy
Blue Cross NC, Cambia Health Combine Management Services
The 'strategic affiliation' will share management and administrative services with the aim of improving quality, lowering costs, and improving the...
Strategy
CMS Wants Input on Selling Health Insurance Across State Lines
The Trump administration says offering health insurance across state lines will enhance competition and lower premiums, but states may raise...
Clinical Care
Women in High-Deductible Health Plans Delay Breast Cancer Diagnosis, Treatment
Researchers looked at the time to first breast cancer diagnostic testing, diagnosis, and chemotherapy among a group of women whose...
U.S. Uninsured Rate Sticks to About 9% Nationwide
During the first nine months of 2018, 45.6% of those under age 65 with private health insurance were enrolled in...
Behind the Scenes, Health Insurers Use Cash and Gifts to Sway Which Benefits Employers Choose
The insurance industry gives lucrative commissions and bonuses to independent brokers who advise employers. Critics call the payments a "classic...
The High Cost Of Sex: Insurers Often Don't Pay For Drugs To Treat Problems
Medicare and many private insurers don't cover drugs that are prescribed to treat problems people have engaging in sex. For...