Author: Staff

Although Medicaid has been slower than Medicare to embrace value-based care, an increasing number of states are defining Medicaid value-based care delivery systems and payment reforms. While significant variation exists, these programs generally emphasize increased alignment among providers, health plans…

While CMS is taking steps this year to make shopping on insurance marketplaces easier, Medicare beneficiaries are looking for additional ways to shop for coverage, according to a report from eHealth. 

Cigna saw strong profits, a bump in revenue and subsidiary development in its third quarter results, announced Nov. 4. 

Politan Capital Management, a hedge fund with nearly a $900 million stake in Centene, is pressuring the company to replace several board members, The Wall Street Journal reported Nov. 3.

UnitedHealth Group and Change Healthcare entered into an amended agreement with the Justice Department not to finalize the healthcare companies' proposed $13 billion deal until late February.

Centene is selling its majority stake in U.S. Medical Management, a home-based primary care provider.

Humana's third quarter earnings report told a story of slight revenue increases, dipping income and developing membership.

Centene announced Oct. 26 that it will begin using a third-party pharmacy benefits manager for its $30 billion in annual spending — a move that CFO Drew Asher said will be "a huge opportunity for an external PBM."

A lawsuit filed by the liquidating trust for Verity Health is claiming MultiPlan and national insurers used their influence to deny providers across the country $90 billion since 2012. 

Amid this year's open enrollment period, call center workers who help Americans navigate ACA coverage options are struggling with their own coverage.