The incoming CEO for Express Scripts wants to resolve a longstanding drug pricing dispute with its largest client that has morphed into a lawsuit, a confrontation that underscores the growing negotiating power for large insurers and questions Express Scripts' independent business model.
Recognizing that cultural cohesion can make or break a merger, Aetna and Humana are being proactive about aligning the two companies' cultures while their deal awaits regulatory approval, according to Aetna CEO Mark Bertolini.
Although powerful provider groups have voiced their opposition to the two major health insurer mergers, one physician leader says he believes that the combination of Anthem and Cigna will help providers and insurers work together to increase care quality and lower costs.
The major U.S. health insurers that plan to merge argue the benefits of their deals will include scale economies, negotiating leverage in provider contracting and diversification, Prospective Health President and CEO Paul von Ebers writes in a post for the Health Affairs blog. But von Ebers cautions there's reason to believe all three benefits will have limits in real-world application.
In addition to carrying significant regulatory risks, pending health insurer mega-mergers could affect the credit ratings of the involved companies, according to a new report from Standard & Poor's.
The year 2015 was undoubtedly one of seismic change for the health insurance industry, with no shortage of game-changing headlines and issues. FierceHealthPayer takes a look back at a few of the biggest stories from the past year.
Presidential candidate Hillary Clinton has official entered the debate about the two major health insurer mergers, saying she has "serious concerns" about their effect on consumers.
The lines between providers and payers are blurring as more and more providers enter the health insurance market--many with an eye on lucrative Medicare Advantage enrollees, says Avalere CEO Dan Mendelson in an interview with FierceHealthPayer.