Payer

Healthcare costs and fears of losing coverage became a top-of-mind issue for Americans in 2017 as Congress made several attempts to repeal the Patient Protection and Affordable Care Act (PPACA).

Cleveland Clinic and Oscar Health estimate their new health plan holds 15 percent of Cleveland's health insurance market after enrolling 11,000 members for 2018.

From UnitedHealth Group more than doubling its profits in the fourth quarter of fiscal year 2017 to Molina Healthcare eliminating its COO position, here are six payers making headlines this week. 

Today, many health plans prioritize improving their provider network performance and meeting government healthcare program requirements. However, with rising specialty drug costs, health plans recognize the important role outcomes-based contracting with life sciences manufacturers will play over the next five…

The American College of Emergency Physicians criticized Anthem's recent moves to incentivize patients with nonemergent symptoms to seek care outside of the emergency department.

Humana recently reclassified Herceptin — an intravenous drug used to treat metastatic breast cancer — as a nonpreferred drug in some Florida markets, CBS12 reports.

Iowa's managed Medicaid program often denies enrollees care and traps them in an endless appeals process, according to an investigation conducted by the Des Moines Register.

Mutual of Omaha, an insurance company offering Medicare Supplement plans, will begin selling Medicare Advantage plans across the country.

Humana will up its minimum wage to $15 an hour and launch its employee incentive program early because of gains under federal tax reform, the Courier Journal reports.

As part of an executive order Kentucky Gov. Matt Bevin, R, issued Friday to institute work requirements for Medicaid enrollees, Medicaid expansion would end if courts struck down the work requirements, according to The Hill.