Though they still must wait months to learn if their merger deals will receive the Department of Justice's blessing, some of the country's largest insurers have been gearing up to argue their case among federal regulators.
Humana has been an early IT adopter, making analytics a foundational piece of its clinical operations and consumer engagement efforts--and has reaped the benefits, reports Enterprise Apps Today.
More lawsuits targeting Medicare Advantage are rolling in, and the latest calls into question the practices of one company that performed in-home health assessments on elderly patients for 30 health plans in more than 15 states across the country, according to a report from the Center for Public Integrity.
It's no secret that the health insurance industry has been subject to a flurry of deal-making in recent months, but a new Securities and Exchange Commission filing by merging insurers Aetna and Humana offers a unique peek into the behind-the-scenes negotiating that ultimately would reshape the industry.
The American Hospital Association has raised concerns about the effects of pending mergers between Anthem and Cigna, as well as another pending deal involving Humana and Aetna.
Even after reportedly negotiating a $250 million settlement with the federal government for unnecessary drug tests dating back to 2012, Millennium Health's legal woes appear to be far from over.
Aetna's decision to merge with Humana is not only driven by the smaller company's dominance in Medicare Advantage (MA) business, but also its strong understanding of the consumer-driven trend that has come to dominate the health insurance industry, Aetna CEO Mark Bertolini tells Bloomberg.
The biggest for-profit health insurers continue to benefit from a low utilization trend among consumers, as most reported better-than-expected second quarter earnings.
The recent rush of consolidation in the health insurance industry has triggered a host of analyses about what the trend means for healthcare providers, employers and consumers. But I've seen less written about the effect these mega-mergers will have on health insurance companies--the ones occupying the industry that stands to be fundamentally disrupted.
If mergers amid four of the nation's largest health insurers pan out, it will be in large part due to the work of two men—Anthem CEO Joseph Swedish and Aetna CEO Mark Bertolini. And both face formidable challenges during every step of the consolidation process.