Industry ducks bullets in 2016 Medicare Advantage rate proposal

John Gorman

This was the most anticipated Advance Notice of Medicare Advantage Payments in years, and the industry unexpectedly ducks bullets, in risk adjustment, Star Ratings and elsewhere. It's got a few unicorn farts in it, and a couple puffs of Chanel No. 5 as well.

The Republican alternative to Obamacare

Robert Laszewski

Voters, and the industry, may end up liking parts of both Republican and Democratic ideas. They might ask a reasonable question: Why can't we take the best from both sides?

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The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.


Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

In an effort to hone another tool to treat obesity, Humana is partnering with a struggling but well-regarded brand that helped define American weight loss.

The retiring leader of Louisiana's largest insurer leaves a legacy of growth and action on issues like obesity. But the next CEO will face the legacy uninsurance problem and a population beset with chronic disease.

Roberta and Curtis Campbell typically look forward to tax time. Most years, they receive a refund. But this year the California couple got a shock: they owe the IRS more than $6,000.

After an experiment with its employees, Aetna is offering large employers a personalized engagement service to help workers mitigate one of modern life's most pernicious health conditions.

Adding to the list of healthcare price comparison tools is a consumer website with one of the largest databases yet, although it is perhaps not enough to end the Dark Ages of healthcare transparency.

One the nation's smaller but more influential integrated health systems has a new chief executive, in time for both fine-tuning and new ventures.

In the farming town of Exeter, deep in California's Central Valley, Anne Roberson walks a quarter mile each day to her mailbox. Her walk and housekeeping chores are the 68-year-old's only exercise, and her weight has remained stubbornly over 200 pounds for some time.

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