Latest Headlines

Latest Headlines

Marilyn Tavenner sets aggressive goals for AHIP

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.

Physicians push back against Highmark reimbursement cuts

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.

Highmark will cut physician payments to stem ACA-compliant plan losses

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 considers forcing health insurers to pay commissions

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.  

Q4 earnings roundup: Big five insurers' ACA exchange woes deepen

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.

UnitedHealth sues feds over Medicare Advantage overpayment rule

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.  

Insurers move to stem ACA losses--but at expense of consumers?

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.  

Covered California exec blasts UnitedHealth for ACA criticism

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.  

With Harken Health, United delves into primary care innovation

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.

Blue Cross and Blue Shield of North Carolina projects major ACA exchange losses

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.