To encourage policyholders to use in-network services next year, health plan co-op Community Health Options hiked its deductibles for out-of-network care by up to 472 percent, Portland Press Herald reports.
Payer
Philadelphia-based Jefferson Health entered into a participation agreement with Louisville, Ky.-based Humana. The agreement will expand the health system's Medicare Advantage network plan, providing healthcare access to nearly 9,000 Humana Medicare Advantage members, according to Digital Journal.
HHS projects 13.8 million people will buy ACA marketplace plans in the fourth open enrollment period beginning Nov. 1 and running through Jan. 31.
Maine insurance co-op Community Health Options has decided to drop coverage of elective abortion services, according to an NPR report.
UnitedHealthcare's absorption of Rocky Mountain Health Plans will undergo public scrutiny as the Colorado attorney general decides whether to green light the purchase, KJCT 8 reports.
Advertisement
One of the ACA's key advisers said penalties devised in the health law may be insufficient as a motivator for individuals to buy coverage, The Hill reports.
The top insurance regulator in Missouri called for a public hearing to evaluate Indianapolis-based Anthem's proposed $54 billion acquisition of Bloomfield, Conn.-based Cigna, reports St. Louis Post-Dispatch.
Louisville, Ky.-based Humana will hire more than 100 full-time employees in Arizona this month for its mail-order pharmacy arm, reports AZ Big Media.
Tampa, Fla.-based payer WellCare will pilot a home telemonitoring initiative for chronically ill Medicare Advantage members in three states.
A low level of trust between payers and providers in healthcare is hindering the shift from fee-for-service to value-based care, according to the 10th Annual Trust Index.