|Fresh U.S. healthcare insights from expert analysts on Healthcare Reform, ACOs, Exchanges, Medicaid, Medicare, regional and national trends…and much more
Contributor: Sarah Wilson
Topic: “Health plan acquisitions”, Aetna, Cigna, Humana, “Medicare Advantage”
Aetna made an aggressive move with its acquisition of Coventry in 2013, and now rumors are swirling that Aetna will soon announce a new acquisition. But this time, the acquisition target may be more than a boutique company like Coventry that would enhance one of Aetna’s existing service lines.
Posted on: 5/19/2015 1:16:41 PM
Contributor: AnnJeanette Colwell
Topic: SCOTUS, FTC, “health systems acquisitions”
The U.S. Supreme Court has spoken. Or, in this case, it has made its opinion known by its silence. The court recently declined to hear an appeal of a case that has brought national attention to the Toledo, Ohio, market by forcing the dissolution of a major health system merger.
Posted on: 5/14/2015 4:48:45 PM
Contributor: Chris Silva
Topics: Teladoc “Texas Medical Board” telemedicine
Ongoing litigation between telemedicine pioneer Teladoc and Texas physicians could have a significant impact on the definition of remote consultations and the powers of medical boards nationwide. Read more.
Posted on: 5/14/2015 3:32:40 PM
Alternative payment model, medical homes, primary-care physicians
Medical homes have become such a common part of any discussion of healthcare coordination that one might think they’re everywhere. Read more.
Posted on: 5/11/2015 9:11:33 AM
Contributor: Bill Melville
Topic: Medicare, “Children’s Health Insurance Program”, “Merit-Based Payment Incentive System”
Stop me if you’ve heard this before: “Congress is working to fix the Medicare funding formula physicians.” That has been a common refrain in the nation’s capital, only this time it appears to be more than lip service.
Posted on: 4/23/2015 2:10:50 PM
UnitedHealthcare looked as if it had missed the boat last year when it chose to play in just a handful of states in the healthcare exchanges. But what a difference a year and some competitive pricing makes: Its exchange enrollment has grown by more than 2,700 percent -- to 570,000 -- now that it has a presence in almost half of the states’ health insurance marketplaces for individuals. Read more.
Posted on: 4/22/2015 5:05:06 PM
Contributor: Jenny Kerr
Topic: “California Public Employees’” Retirement System, Anthem, “Blue Shield of California”, “Affordable Care Act”
The impending Cadillac tax in 2018 seemed like a tax on health plans with ultra-rich benefits when it was passed, but the reality is it could hit about one-third of employers if left unchanged.
Posted on: 4/22/2015 12:09:18 PM
SGR, FFS, value-based reimbursement, CHIP, quality
On April 14, 1865, John Wilkes Booth walked into the Ford Theater, entered the presidential box and shot President Abraham Lincoln in the head, forever changing U.S. history.
Posted on: 4/15/2015 1:58:22 PM
Catamaran, CVS Health, Express Scripts, M&A, OptumRx, PBMs, UnitedHealth Group
Since late 2014, insiders have been predicting greater consolidation in the pharmacy benefit management industry. Rite Aid’s acquisition of EnvisionRx earlier this year supported that expectation, and the healthcare wise men and women nodded.
Posted on: 4/1/2015 11:53:19 AM
Contributor: Sheri Sellmeyer
Topics: ACA, Aetna, Anthem, BCBS of North Carolina, Centene, exchanges, PreferredOne, UnitedHealth Group
Now that the dust has settled on year two of open enrollment for the health insurance exchanges, it’s a good time to bust a few myths about the program. Read more.
Posted on: 3/26/2015 4:54:57 PM