|Fresh U.S. healthcare insights from expert analysts on Healthcare Reform, ACOs, Exchanges, Medicaid, Medicare, regional and national trends…and much more
Author: Chris Silva
Topics: Telemedicine, ”Mississippi Board of Medical Licensure” Teladoc, “American Telemedicine Association”
In Michael Mann’s biopic drama, ‘The Insider,’ Al Pacino and Russell Crowe play the key protagonists attempting to put a spotlight on Big Tobacco. The state of Mississippi plays a pivotal role as the setting where a key deposition takes place in a case that ultimately resulted in billions in settlements and changed the dynamics of tobacco advertising forever.
Posted on: 8/31/2015 3:16:58 PM
: Sydney Hester
: Medicaid Expansion, Affordable Care Act, ACA, Medicare Advantage, Mergers, Aetna, Humana
With the 50th
anniversaries of Medicare and Medicaid marked on the calendar in July, the two federally funded programs are finally becoming a high priority for insurers aiming to spread their base. Though both programs have taken a back seat to commercial consumers in the past due to lower profit margins, payers are taking advantage of new growth opportunities in the markets. Read more.
Posted on: 8/6/2015 3:26:45 PM
Affiliations, bundled payments, hospitals, partnerships, reimbursement, post-acute care
Consolidation among insurers dominates the headlines these days, but another wave of deals is brewing—this time in the post-acute-care sector. A few health systems already have formed new partnerships with post-acute providers to increase integration and enhance care coordination. Read more.
Posted on: 8/5/2015 9:40:45 AM
: Bill Melville
: Blue Cross Blue Shield of Texas
Don’t look now, but the future of PPO plans sold in the individual market looks a lot shakier.
Lost in the noise over mega-mergers, one of the biggest carriers anywhere, Blue Cross Blue Shield of Texas, announced plans to stop selling its Blue Choice PPO on and off the exchange in 2016. Read more.
Posted on: 7/30/2015 3:53:58 PM
: Ric Gross
: Alaska, Medicaid, Montana, Utah
On July 30, 2015, the Medicaid program will officially turn 50 years old. And while the event has certainly been commemorated, let’s just say that in many states, it wasn’t with quite the same enthusiasm of Marilyn Monroe’s “Happy Birthday, Mr. President” serenade to President John F. Kennedy for his birthday. Read more.
Posted on: 7/28/2015 4:45:18 PM
Aetna, Anthem, Cigna, consolidation, Humana, M&A, UnitedHealth Group
The pending mega-mergers of Anthem with Cigna and of Aetna with Humana will most likely do what they’re designed to do: maximize profits of the companies’ corporate shareholders. But this will come at a price—still hard to quantify—to consumers of health insurance and to the sellers of healthcare services and goods. Read more.
Posted on: 7/28/2015 8:48:55 AM
: Mergers & Acquisitions, Health Insurance, Medicare, UnitedHealth Group, Aetna, Anthem, Cigna, Humana
For years, there has been the “Big Five” of health insurance companies, but a change to the “Big Three” of Anthem-Cigna, UnitedHealth Group, and Aetna-Humana appears to be closer to reality. The idea that Aetna would acquire Humana or that Anthem would acquire Cigna seemed a more remote possibility earlier this year. Read more.
Posted on: 7/24/2015 2:07:26 PM
: Anthem, Cigna
With the long-awaited merger of giants Anthem and Cigna announced, the impact on the newest market segment in health insurance might could be significant.
Posted on: 7/24/2015 2:04:27 PM
Medicaid expansion, ACA, reimbursements, healthcare access
Imagine, for the first time in your life, you are able to sign up for Netflix and have access to the movies you want, when you want them. You sign up, pay your monthly dues, then go to stream the movie you want, only to find out you don’t have access through Netflix. Hulu has the movie available, but your subscription doesn’t work with that service. Another option is to buy the movie, but that will cost a considerable amount more than you want to pay, which is why you signed up for Nexflix in the first place. If you can’t get the movie you want, when you want it, through your Netflix account, what is the point of having it? Read more.
Posted on: 7/21/2015 11:37:53 AM
Aetna, Catamaran, consolidation, CVS/caremark, EnvisionRx, Express Scripts, Humana, M&A, OptumRx, PBM
The year 2015 was in its infancy when a PBM executive remarked to a Decision Resources Group colleague, “You can expect more consolidation this year.”
Boy, was he right. Read more.
Posted on: 7/17/2015 4:54:56 PM