Author: Molly Gamble

Portland-based MaineHealth's flagship hospital will exit the Anthem insurance network in January, citing more than $70 million in unpaid claims over the past three years as justification for the split, The Portland Press Herald reported April 6. 

Cleveland Clinic and Aetna are forming an accountable care organization that includes the launch of a co-branded insurance plan designed for employers in Northeast Ohio and expanded access to the health system for second opinions and heart care. 

Houston Methodist facilities and physicians are moving back into UnitedHealthcare's network after roughly six months of a negotiation impasse, according to the Houston Chronicle. 

Pittsburgh-based Highmark Health posted net income of $629 million on revenues of $9.2 billion in the first half of fiscal year 2019.

Pennsylvania senators and representatives have written to CMS to see if the agency can give more information to patients who will be affected in six months by a split between Pittsburgh-based Highmark and UPMC, according to the Pittsburgh Post-Gazette. 

Horizon Blue Cross Blue Shield of New Jersey's OMNIA Health Plans place hospitals in two tiers based on quality and cost, but documents obtained by a local news outlet suggest Horizon wanted two hospitals in its more desirable Tier 1…

From a healthcare consumer perspective, it increasingly strikes one that the healthcare insurance market is a story of haves and have-nots.

Fountain Valley, Calif.-based MemorialCare Health System and its five hospitals are operating out of network with Anthem Blue Cross after contract negotiations ended in impasse last week, according to the Long Beach Press Telegram.

To combat rocketing premiums on the individual market, America's most sparsely populated state agreed to earmark $55 million to fund healthcare costs for its sickest residents, according to The Wall Street Journal.

Seven Democratic senators urged the U.S. Justice Department on Wednesday to block the Aetna-Humana and Cigna-Anthem mergers, with one lawmaker calling the proposed deals "job-killers," according to the Hartford Courant.