Susan Morse
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.
The Centers for Medicare and Medicaid Services published the final rule late Monday and it is aimed at increasing coverage through health plans that have lower premiums, and giving insurers more flexibility in designing essential health benefits.
Former Landmark Health CEO will likely follow through on Seema Verma's initiative to take the innovation center in a new direction.
Adults are four times as likely, and children at least two-times more likely, to receive certain preventative care services than uninsured, according to a report by America's Health Insurance Plans.
Deal is latest example of UnitedHealth Group divisions blurring the lines of healthcare delivery.
'One truth will be available to all and ultimately to the payer as well,' says healthcare expert.
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Humana is challenged to improve the health of its Medicare Advantage population but got a boost in MA payments this week.
The number remained high even as the agency cut costs for the most cost effective and successful open enrollment to date, CMS says.
The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.