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Lots of consumers may have been shorted on HIX subsidies


Thousands of families with a disabled or deceased parent may have received a lower subsidy than they deserved to buy health coverage through the federal insurance marketplace as a result of a calculation error by the federal government. Read more »

States get a warning: Expand Medicaid or risk hospital funds


Add Tennessee and Kansas to the list of states that have been warned by the Obama administration that failing to expand Medicaid under the Affordable Care Act could jeopardize special funding to pay hospitals and doctors for treating the poor. Read more »

Nationals seize contract opportunity amid Nebraska Blue dispute


It's a network war with Midwest manners, but Nebraska's largest insurer and health system still have miles to go before a resolution. The impasse may be hurting one organization more than the other. Read more »

Rate hikes for grandfathered plans raise ire


Consumer advocates and an activist insurance commissioner in California are renewing a push for premium review authority, while the state exchange is moving ahead with its own version of active purchasing. Read more »

Humana scoops up home medicine company


For Humana, the national insurer with the most Medicare Advantage members, retail health clinics are out of the integration strategy, but home care is very much in. Read more »

BCBS Illinois grows ACOs amid flurry of hospital M&A


Illinois' largest health insurer is building out its accountable care network, even as some of the health system partners are consolidating. Read more »

Hospital gives patients, payers a warranty


Taking a cue from car manufacturers and cell phone companies, some providers are starting to see value in guaranteeing a standard for quality and costs. Read more »

Few consumers using quality, price information in healthcare choices


Despite the government's push to make health information more available, few people use concrete information about doctors or hospitals to obtain better care at lower prices.

Aetna sees promise in oncology medical home


In a new oncology program in Florida, Aetna is trying to combine the medical home model with access to advanced care and translational research. Read more »

Rethinking managed care


What does managed care even mean these days? As the field has ballooned, its substance has been diluted, though it will still be useful in the new healthcare economy. Read more »

Cash-and-carry health insurance in Los Angeles


The largest publicly run health plan in the nation, L.A. Care, is letting customers who do not have traditional bank accounts to pay their health insurance premiums with cash. Read more »

Startup insurer Oscar gets $1.5 billion valuation


With another round of venture capital, Oscar Health Insurance is getting ready to enter new markets and try to become more than just a niche concierge health plan. Read more »

Of customers, beneficiaries, shareholder and taxpayers


Despite facing concerns about conflicts of interest, former UnitedHealth Group executive Andy Slavitt wants to blend the best of the private and public sectors in a bid to optimize the $1 trillion-plus health plans covering 140 million Americans. Read more »

Feds promise guidance for contraception EHB compliance


What constitutes reasonable limitations and management of contraception as an essential preventive health benefit? In the wake of new data and some consumer complaints, HHS may try to resolve gray areas. Read more »

UHG floats profitable quarter, sees busy year


Kicking off the spring season of managed care earnings statements, UnitedHealth Group shows that business is bustling for modernizing American healthcare and expanding insurance. Read more »

EEOC gives thumbs up to wellness


The Equal Employment Opportunity Commission is offering businesses long-awaited guidance on employee wellness programs, condoning controversial financial incentives while also raising some questions about other practices. Read more »

Only a fraction of hospitals score high in new Medicare ratings


In an effort to make comparing hospitals more like shopping for refrigerators and restaurants, the federal government has awarded its first star ratings to hospitals based on patients' appraisals. Read more »

IBC grows membership, revenue amid health reform efforts


Greater Philadelphia's largest insurer ended 2014 with a healthy margin, if one lower than a year before, and a portfolio full of new products and ventures. Read more »

Humana's Broussard calls out industry woes, urges embrace of upheaval


American healthcare does not need more technology, but leaders to think about systematic problems and how to create solutions for consumers, argues the CEO of Humana. Read more »

Endpoints: New diabetes drug may bring heart risks


A fresh stream of data is raising some concerns about a new class of diabetes medicines and their relation to long-term heart health. Read more »

UHG piloting rewards for health in app collaboration


UnitedHealthcare is testing the waters of consumer rewards and digital engagement, in a new partnership with Walgreens that's aiming to spur better health choices. Read more »

As home medicine advances, an opportunity for insurers


A sustainable Medicare payment for home-based medicine is on the horizon, and some insurers are already major backers of the service. But health plans could be doing more, especially in Medicare Advantage. Read more »

UPMC, Highmark face off on Medicare Advantage network


Despite some lulls, the war between the University of Pittsburgh Medical Center and Highmark is again raging, now with a battle over Medicare Advantage plans and oncology reimbursement. Read more »

Cadillac tax fears driving private HIX surge


How far can private exchanges go? New data suggest a large migration is in the works, even as the model brings some uncertainties for employers and insurers. Read more »

NYC public health system looks to double its insurance plan


To fix financial woes, New York City's taxpayer-owned health system is plotting a comeback and planning to give more residents a kind of public option for health insurance. Read more »

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