Stock analysts have speculated that CVS Health's $69 billion deal to buy Aetna may push Walgreens Boots Alliance to purchase Humana or WellCare Health Plans, but those deals now appear less likely, according to TheStreet.
Payer
Aetna says comments a former medical director made under oath, which implied he never reviewed patients' medical records when deciding claim approvals or denials, are "a gross misrepresentation of how the process actually works."
Michael Guyette, president and CEO of Blue Cross and Blue Shield of Minnesota, will leave the insurer in March.
Blue Cross and Blue Shield of Idaho submitted a request to state insurance regulators Tuesday to sell five plans that do not comply with ACA requirements, as informed by the executive order signed by Idaho Gov. Butch Otter (R) in…
Atlanta-based Piedmont Hospital and five sister facilities have sued Blue Cross Blue Shield of Georgia and its parent company, Anthem, according to The Atlanta Journal-Constitution.
A fourth of payers believe offering incentives for positive health behavior is the most effective way to make passive patients engage with their healthcare, according to a recent survey commissioned by Change Healthcare and the HealthCare Executive Group.
Molina Healthcare widened its operating loss in the fourth quarter of fiscal year 2017 as the company continues its restructuring.
Justine Handelman, a senior vice president at the Blue Cross Blue Shield Association, told reporters at a briefing last week policies to stabilize the individual insurance market are necessary, according to The Hill.
California's insurance commissioner is investigating Aetna after one of the health insurer's former medical directors admitted under oath he never reviewed patients' medical records when deciding whether to approve or deny claims, according to CNN.
Five of America's largest commercial payers — Aetna, Anthem, Humana, Cigna and UnitedHealth Group — reported profitable fourth quarters to end fiscal year 2017.
