Centene's CEO told analysts last month the Trump administration's support of invalidating the ACA shouldn't affect the health insurer’s day-to-day operations and growth plan for the future.
The move to private Medicare Advantage takes hospitals further away from fee-for-service medicine, putting pressure on these providers to improve quality and health outcomes or risk being excluded from insurer networks.
CVS has vowed to change the way U.S. healthcare is delivered, including efforts to give patients less need to use the hospital and its ancillary outpatient services.
Employers and health insurers are becoming more selective about the doctors, hospitals, and health systems they offer to workers in hopes of boosting quality and reducing healthcare costs.
The pharmacy chain and insurer are touting the success of their pilot collaboration. If their work proves fruitful, the model could add to the threats diverting revenue away from incumbent providers.
This merger's strategy may up the ante for rival health insurers as they try to show employers and consumers they are controlling costs and managing populations with the best data.
