Chris Anderson
Consumer Watchdog and the Center for Media and Democracy say recent reductions in medical spending by seven public insurers is a thinly-veiled attempt to keep expenses high and profits intact once new ACA medical loss ratio requirements kick in.
WellCare Health Plans has agreed to a $137.5 million settlement with the Department of Justice and will pay another $194 million to settle a class action lawsuit over healthcare fraud allegations.
The Medicare Trustees' annual report projects substantially lower annual increases in healthcare costs as a result of the Affordable Care Act for services provided by hospitals, skilled nursing facilities and home health agencies.
The Ohio Association of Medical Equipment Services says current competitive bidding has produced "suicide bids" that reduce reimbursement rates so much they will likely put many medical equipment providers out of business.
Employers lack adequate data from third-party providers to effectively manage their health benefits costs, says a new report from the Healthcare Performance Management Institute.
CVS Caremark and Aetna have signed a 12-year contract to provide pharmacy benefit management services to Aetna's 9.7 million customers and members, representing more than $9.5 billion in annual drug spending.
A Harris Interactive Poll shows most seniors are ill-informed or misinformed on 12 vital facts they should know about health reform and how it affects their Medicare benefits.
Virginia's Anthem BCBS has launched an initiative to reduce expenditures on ER visits, roughly 60 percent of which could be shifted to other locations that provide the same care for a fraction of the price.
Fox Insurance has agreed to wire $13.6 million to PBM administrator ProCare more than four months after the Centers for Medicare and Medicaid Services terminated its contract for prescription drug insurance coverage.
The Departments of Health and Human Services, Labor and Treasury have announced new regulations requiring new private health plans to cover evidence-based preventive services and eliminate cost-sharing requirements for those services.