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Latest

Humana touts success of value-based Medicare Advantage reimbursement models

November 2, 2016  /  Insurers

Humana says its Medicare Advantage members enrolled in value-based arrangements experience better care quality and healthier outcomes–all while helping trim costs.

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UnitedHealth Group Launches National ACO

November 2, 2016  /  Insurers

United Health Group,  the nation’s largest health insurer, will launch a nationally branded accountable care organization, committing more resources to a value-based care push designed to attract self-funded employers.

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Latest

ACA plans hamper Molina Healthcare, but Medicaid continues turnaround

November 2, 2016  /  Insurers

Molina Healthcare’s Medicaid business improved in the third quarter after a rocky start to the year, but worse-than-expected results from the Affordable Care Act individual and small-group marketplaces weighed down the insurer’s profit.

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Despite Obamacare Woes, Centene Grows From Medicaid Expansion

October 27, 2016  /  Insurers, States

Centene Corp., grabbing headlines as the last health insurer to offer individual coverage on public exchanges in two of Arizona’s largest counties, has seen its growth double from the Affordable Care Act’s Medicaid expansion nationally in the last year.

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Latest

Payers Slow to Adopt Value-Based Care Payment Arrangements

October 21, 2016  /  Insurers

A new survey found that providers are pursuing provider-sponsored health plans because payers have not moved as quickly on implementing value-based care payment arrangements.

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Latest

Are Blues’ Plans Benefiting Unfairly From Program To Offset Cost Of Sicker Patients?

October 21, 2016  /  Insurers

Some health insurers say they’re paying too much to rival Blue Cross Blue Shield plans under a key pillar of the federal health law designed to compensate insurers that take on sicker and more expensive patients.

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Latest

Providers say commercial payers are unwilling to share risk

October 14, 2016  /  Insurers

While healthcare providers are speeding ahead with implementing value-based payment models to reduce admissions and save costs, some slow-to-adapt commercial insurers are hindering progress, according to a survey of health system executives.

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Latest

More employers join push for value-based healthcare

October 7, 2016  /  Employers, Insurers

More employers are setting up value-based reimbursement and payment arrangements with health insurers and providers to encourage better employee health outcomes and reduce costs, survey data released Tuesday show.

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Insurers, PBMs take heat for reaction to rising drug costs

September 9, 2016  /  Insurers

Similar to the much-maligned pharmaceutical companies, health insurers are increasingly becoming the target of consumer backlash over the rising cost of drugs.

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Latest

Insurance Startup Oscar Quits Two Markets, Rethinks Obamacare Plans

August 24, 2016  /  Insurers

Health insurance startup Oscar Insurance Corp. will reevaluate its approach to Obamacare after suffering significant losses under the U.S. program and will pull out of two markets next year.

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