U.S. Department of Justice lawyers questioned Aetna executives Monday about the payer's decision to exit the majority of ACA exchanges it operated in during an antitrust trial challenging Aetna's proposed $37 billion takeover of Humana, according to The Wall Street…
Payer
Fifty-two million adults under age 65 have pre-existing conditions that would have likely made them uninsurable before the ACA eliminated pre-existing conditions, according to the Kaiser Family Foundation.
Pennsylvania saw an 11.4 percent increase in the number of children enrolled in the Children's Health Insurance Program over the past year, according to the Pittsburgh Post-Gazette.
Louisville, Ky.-based Humana contracted with Madison, Wis.-based Exact Sciences Corp. to cover Cologuard — a colon cancer test — as an in-network service for its members.
As Republicans pledge quick change to the ACA, health insurers are amplifying their lobbying efforts in an attempt to keep the individual market from folding — a reality some payers feel could occur with the removal of the ACA's individual…
Advertisement
Parents with lower incomes are increasingly signing up their children for Medicaid or the Children's Health Insurance Program, forgoing their employer-based family coverage, reports Kaiser Health News.
A recent study from Transamerica Center for Health Studies found employers are optimistic about offering comprehensive health plans to their employees, with the number of midsize employers providing health benefits to part-time employees jumping from 13 percent to 26 percent…
Minnetonka, Minn.-based UnitedHealthcare and Missouri-based Mercy expanded their network to include more than 675 Mercy physicians and facilities across the region, Aurora Advertiser reports.
Louisville, Ky.-based Humana will write off $591 million in risk corridor receivables outstanding as of Sept. 30 of this year because of a recent court ruling stating the federal government is not obligated to pay risk corridor payments under the…
Baltimore-based nonprofit payer Evergreen Health is not allowed to sell health plans on Maryland's federal exchange until its acquisition and conversion to a for-profit entity concludes, the Maryland Insurance Administration determined, reports The Baltimore Sun.