Susan Morse
The provider-run Scott & White Health Plan is the latest to leave the exchange market after alerting members on its website that it will no longer offer individual and family plans on the Obamacare markets.
Drug costs increased more than 17 percent from 2013 to 2014, compared to a 3.3 percent increase in the total cost of claims, according to Medicare Part D data released by the Centers for Medicare and Medicaid Services on Thursday.
CEO Mark Bertolini claimed savings tied to the Humana merger would have helped it remain on the exchanges.
Centene's wholly-owned subsidiary Health Net has agreed to pay $340,000 for violating securities laws on whistleblower awards, the Securities and Exchange Commission announced Tuesday.
In 1998, investors filed more than 20 lawsuits alleging the Birmingham-based MedPartners, a physician practice management company, made false and misleading statements to the public about its financial condition and prospects.
Citing over $600 million in losses and the lack of a federal safety net for the Affordable Care Act's high-risk pool, Aetna is exiting the exchange market in all but four states, Chairman and CEO Mark Bertolini said Monday.
Baptist Health South Florida is among numerous health systems in southern states that are at the epicenter of growing concern over the spread of the Zika virus.
Eighty-five percent of hospitals required to participate in the new Medicare cardiac bundled payment models will not experience gains or losses that exceed $500,000 per year, based on their current spending patterns, according to a new study by Avalere.
A new Government Accountability Office report to the chairman of the Senate Finance Committee claims that federal rules may hinder states from applying to waive sections of the Affordable Care Act to make marketplace health insurance provisions more innovative.
In future rulemaking, the Centers for Medicare and Medicaid Services will propose that all issuers fund a small payment to the risk adjustment program to help marketplace insurers with high claims costs.