Articles by Brian Eastwood

Proposed MCO rule would subject Medicaid managed care plans to quality ratings

The Centers for Medicare & Medicaid Services wants to bring quality ratings to Medicaid managed care organizations.

MCO rule under fire for introducing medical loss ratio

The Centers for Medicare & Medicaid Services released its proposed rule to update Medicaid managed care organization regulations yesterday, and the rule is already under fire for proposing a medical loss ratio of 85 percent for managed care plans.

CMS updates Medicaid managed care organization rules

The Centers for Medicare & Medicaid Services has released its long-awaited proposed rule that updates its Medicaid managed care organization regulations.

Talk of possible Aetna, Anthem acquisitions reaches fever pitch

It's time to play "Let's Make a Deal." Or, perhaps, "The Price Is Right." Also, "Who Wants to Be a Millionaire?" In case you missed the news--and, judging from...

Consumers buy high-deductible health plans begrudgingly

Non-group insurance enrollment hit an all-time high in 2015, but many of those consumers that bought high-deductible plans do not think are a good value.

Business outlook for private insurance exchanges remains strong

The business outlook for private insurance exchanges continues to improve even though the products have yet to reach their full potential.

Karen Ignagni's AHIP resignation comes at critical time for healthcare reform

The departure of America's Health Insurance Plans President and CEO Karen Ignagni for the same role at New York nonprofit insurer EmblemHealth comes at a critical time for the health insurance industry.

Karen Ignagni leaving AHIP for EmblemHealth

Longtime America's Health Insurance Plans CEO Karen Ignagni is leaving the lobbying group to become president and CEO of New York-based insurer EmblemHealth.

Humana retools strategy for selling ACA plans in Georgia

Humana hopes the third year of open enrollment is the charm in Georgia, where a flood of enrollees has proven costly to the insurer.

Missouri fines Aetna $4.5M for violating state's abortion, autism coverage laws

Missouri Gov. Jay Nixon (D) announced that the state has reached a $4.5 million settlement with Aetna following two insurance law violations. It's the largest such settlement in state history.