Narrow Networks Don’t Sacrifice Quality For Cost

An analysis of narrow networks on the Covered California health plan marketplace found that in most cases consumers don’t need to worry that they are trading quality of care for lower costs. While Covered California plans did offer narrower hospital networks, there was no significant relationship between raw network size and performance, according to the ...

Read More

Hopes Dim For Deal To Avert Medicare Premium Spikes

The window is closing for congressional leaders to avert the double-digit premium hikes that are set to hit 8 million Medicare enrollees next year. Congress has only a handful of weeks to prevent the 52 percent premium hikes — the largest in the program’s history — that will harm seniors and drain state budgets. And with ...

Read More

No Ready-Made Rx For Rising Drug Costs

When Turing Pharmaceuticals raised the price of an older generic drug by more than 5,000 percent last month, the move sparked a public outcry. How, critics wondered, could a firm charge $13.50 a pill for a treatment for a parasitic infection one day and $750 the next? The criticism led Turing’s unapologetic CEO to say ...

Read More

Aetna, Humana Shareholders Approve Proposed Merger

Health insurer Aetna’s proposed $37 billion acquisition of smaller rival Humana Inc was approved by the shareholders of both companies. The companies continue to expect the deal to close in the second half of 2016, they said in separate statements on Monday. Aetna in July said it would buy Humana to become the largest provider ...

Read More

Blue Shield of California Agrees To Limit Premiums, Recalculate Rebates

Blue Shield of California has agreed to limit its premiums for certain policies next year and in 2017, Payers & Providers reports. Background On Oct. 5, the California Department of Managed Health Careissued an order addressing Blue Shield’s premiums and medical loss ratio calculations. DMHC spokesperson Rodger Butler said the agency had “significant concerns with ...

Read More

Little Growth Predicted on Health Exchanges

WASHINGTON — In a surprisingly pessimistic forecast, the Obama administration predicted on Thursday that health insurance enrollment on the Affordable Care Act’s public marketplaces will only inch up from current coverage levels by the end of 2016. After an elaborate analysis of demographic data, Sylvia Mathews Burwell, the secretary of health and human services, said ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square