Louisville, Ky.-based Humana and eight orthopedic specialty groups in Kentucky and Indiana are instating a value-based care model for Humana's Medicare Advantage members receiving total hip or knee joint replacements.
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Louisville, Ky.-based Humana proposed double-digit premium increases for its small group preferred provider organization and health maintenance organization health plans, according to Phoenix Business Journal.
The New York State Department of Financial Services fined Excellus Health Plan $1 million for wrongfully denying coverage for contraceptive services.
U.S. Sen. Chuck Grassley, R-Iowa, recently penned a letter to CMS Administrator Seema Verma calling for increased examination of private Medicare Advantage plans, reports Kaiser Health News.
Insurers did not receive confirmation the ACA's cost-sharing reductions would remain intact during a meeting with CMS Administrator Seema Verma Tuesday, The New York Times reports.
Thirty-two percent of health insurers and life insurers across the globe plan to develop their predictive analytics capabilities over the next two years, according to a Gen Re survey.
Vero Beach, Fla.-based Indian River Medical Center and Hartford, Conn.-based Aetna may end their contract if negotiations between the parties fail, according to a TCPalm report.
Charleston, S.C.-based Consumers' Choice Health Plan, a failed health insurance co-op, filed a lawsuit against the federal government claiming the government's inability to pay reinsurance payments led to its 2015 collapse, The Post and Courier reports.
Health insurance plans will see increased costs, technology use and implementation of bundled payment models in 2017, according to online benefits administration and health savings account provider Clarity Benefit Solutions.
Minnetonka, Minn.-based UnitedHealth Group saw revenue and earnings from operations increase in the first quarter of fiscal year 2017 despite its widespread withdrawal from the ACA individual marketplace this year.