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.
The Pennsylvania physician community lashed out against a recent decision by one of the state's major insurance carriers to cut payments by 4.5 percent, claiming the cuts are placing an unfair burden on providers, which could negatively impact patient care in the long run.
As part of a broader effort to stem losses from Affordable Care Act plans, insurer Highmark, Inc. will cut physician reimbursement rates for those plans by 4.5 percent starting in April.
California could become the first state to adopt rules that prevent health insurers from altering their sales commissions to discourage the enrollment of higher-cost customers, Kaiser Health News reports.
If the "big five" U.S. health insurers' fourth-quarter earnings reports made one fact clear, it's that the profitability of their Affordable Care Act exchange products continues to be an issue.
UnitedHealthcare and 40 other affiliated companies have sued the federal government in an attempt to change what they argue are unfair regulations governing Medicare Advantage overpayments.
Seeking to stem their financial losses on Affordable Care Act exchange products, health insurers have started to discourage consumers from signing up for coverage outside of standard enrollment periods and choosing less-profitable plans, Kaiser Health News reports.
The executive director of California's health insurance exchange is firing back at UnitedHealth after the nation's largest insurer threatened to stop selling Affordable Care Act policies in 2017.
Amid all the news about UnitedHealth's struggles with its Affordable Care Act exchange business, many have missed that the insurer has quietly built a promising value-based primary care model, Forbes contributor Dave Chase writes in a recent opinion piece.
In yet another sign of trouble for the Affordable Care Act exchanges, Blue Cross and Blue Shield of North Carolina is projecting a loss of more than $400 million on its ACA policies for 2014 and 2015, the News & Observer reports.