Susan Morse
Anthem is being held responsible for cyber attacks that stole the protected health information of close to 79 million people.
Any such requirement would raise significant legal issues, including First Amendment concerns, PhRMA says.
Mayhew will oversee the federal program as waivers for work requirements reduce the number of beneficiaries.
The settlement with New Jersey resolves two separate privacy breaches regarding members HIV/AIDS status and those with AFib.
CMS promotes MA's supplemental benefits as consumers increasingly choose private coverage versus government insurance.
CMS takes credit for introducing waivers and a reinsurance program for insurers to submit high-cost claims into a risk pool.
Whether consumers will benefit from clout, data, lower pricing or not is up for debate.
Aetna's divestiture of Medicare Part D prescription drug plans to WellCare would fully resolve DOJ concerns.
The top three clinical episodes selected are major joint replacement of the lower extremity, congestive heart failure, and sepsis.
Hospital margins of 10 percent and greater are the result of insurers paying too much, study says.