AHIP CEO Marilynn Tavenner wants to bring UnitedHealth Group and Aetna back into the trade group's fold, close a $2 million budget deficit, fix the "antiquated fee-for-service methodology" used forMedicare Advantage and repeal the Cadillac tax--all in 2016.
Recently proposed changes to Medicare Advantage payment rules will result in an estimated 0.5 to 3.9 percent cut on average to MA payments in 2017, according to a new report.
The Core Quality Measure Collaborative's unveiling of a standardized set of quality benchmarks represents a major milestone for a healthcare industry that too often struggles with burdensome reporting requirements. But the process to achieve this long-sought set of measures wasn't easy, nor is the work finished, Andrew Baskin, Aetna's national medical director for quality and provider performance measurement, tells FierceHealthPayer in an exclusive interview.
The majority of health plans in the U.S. offer price transparency tools to consumers, nearly all of which include estimates for common surgical procedures, radiology services, and out-of-pocket costs, according to a survey published in the American Journal of Managed Care (AJMC).
Enrollment in Medicare Advantage plans has risen considerably in the last five years, overcoming predictions that funding cuts would cripple the program and offering an attractive business opportunity for health insurers, according to the New York Times.
The industry's largest trade association hopes to convince the two major health insurers that left its ranks to return amid a particularly high-stakes year for payers.
In the wake of Aetna's announcement that it would leave America's Health Insurance Plans, speculation has continued to swirl about what it means for the industry. Some think two insurers' decision to part ways with AHIP may herald a new chapter in which multiple trade associations and interest groups represent the insurance industry.
Aetna's decision to leave America's Health Insurance Plans might not bode well for the health insurer, nor for the future of the industry's largest trade association.
Aetna has decided to leave America's Health Insurance Plans, becoming the second major insurer to part ways with the industry's largest trade association.
Healthcare industry stakeholders--and particularly, insurers--have a lot to say about the government's proposed host of reforms for the Affordable Care Act marketplaces.