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Supreme Court's decision likely to impact health insurers as spouses join plans


The right to marry in any state won't be the only gain for gay couples from last week's Supreme Court ruling. The decision will probably boost health insurance among gay couples as same-sex spouses get access to employer plans, say analysts and benefits consultants. Read more »

Subsidies okay in federal marketplace, high court rules


The U.S. Supreme Court has dismissed the challenge to the Affordable Care Act's subsidies in federally-facilitated exchanges, a victory for the Obama Administration but certainly not the last health reform battle. Read more »

Blues 'cartel' battle casts doubt on Anthem deal and more


The Blues have been accused of running health insurance like a mafia for years, but now lawsuits could stick and compromise the family's future. Read more »

Millennials want to work in health insurance?


Despite looming consolidation, health plans and insurers broadly need to attract more younger workers as Baby Boomers retire and markets evolve. Read more »

UnitedHealth Group leaving AHIP


There will soon be one less member company of America's health insurance trade group, a sign of the industry's evolutionary turmoil. Read more »

Covered California turns to big data


The country's largest state insurance exchange wants to be an active purchaser negotiating on behalf of consumer, and a data-driven convener of affordability and quality. Read more »

Insurers ordered to increase, yes increase, premiums


Oregon's top health insurance regulator is taking the unusual step of encouraging higher premiums in a competitive individual market, where the lowest-cost plan may also be the most disruptive. Read more »

Tufts joins health companies paying livable minimum


Taking a cue from Aetna, Ascension Health and companies beyond the healthcare industry, Tufts Health Plan is raising its minimum base wage. Read more »

Thanks but no thanks: Cigna declines Anthem bid


Anthem is scrambling to save a $53 billion takeover of Cigna, while encountering some deep criticisms of its own future potential. Read more »

Auditor slams California's oversight of Medicaid managed care


California health officials failed to ensure that more than 9 million residents enrolled in Medicaid managed care plans had access to doctors when they needed them, the state auditor said in a stinging report. Read more »

Nonprofit plan bails on duals demo


Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve. Read more »

Fewer reinsurance needs buoy higher payments


While pent-up demand and new individual customers have contributed to higher-than-hoped-for premium increases, extraordinary claims have been less than feared, leaving some more money to spread around. Read more »

Mass insurers, small biz get rating reprieve


Massachusetts health insurers and their small business customers will have another year with a sort-of sharing risk rating system, although eventually they’ll be in for reckoning. Read more »

Anthem subsidiary tries to improve dementia management


As American society ages and Alzheimer's and dementia besets seniors and their caregivers, there may be ways to make life better until new treatments arrive. Read more »

CMS bungled subsidies, inspector finds


Billions of dollars in ACA exchange subsidies are at risk of being miscalculated and misappropriated, and it seems some already have been. Read more »

Is the uninsured rate the lowest ever?


Almost no one disputes that the implementation of the federal health law has helped Americans who were previously uninsured gain coverage. But exactly how much has the uninsured rate dropped? Read more »

Americans say drug costs are ‘unreasonable,’ but can afford to buy them


Nearly three in four Americans say the costs of prescription drugs are “unreasonable," and most blame drugmakers for those prices, according to a new poll. Read more »

Rumor Mill: Anthem bids for Cigna, UHG for Aetna


The companies at the top of America’s health insurance food chain are hurdling toward what could be some of the largest consolidation deals ever in the healthcare industry. Read more »

Wellness program didn't help folks lose weight, study finds


Once much-vaunted, the broad-based workplace wellness program is coming under more skepticism, as new data suggests the prevailing models may not be achieving some main goals. Read more »

CVS grows consumer health empire with Target Rx, clinic takeover


CVS Health’s tree of drug management and retail health is growing with grafts from a different, struggling retailer. It’s a chance to expand the reach of CVS's primary care and low-cost generic medicines, among other things. Read more »

Anthem membership overtakes UnitedHealthcare, by one count


As health insurance membership grows, so too are profit margins for some of the largest managed care companies, although of course that's not the case for every health plan. Read more »

Low prices lure some consumers to temporary health plans


Once a stopgap for people between jobs, short-term policies appear to be enjoying a resurgence, despite hope that consumer interest would decline after the ACA. Read more »

2016 HIX premium proposals stoke fear, cautious optimism


Concerns over double digit increases abound, but there are also signs that individual premiums on average and in a lot of places may be modest. Read more »

Assurant prepares to exit health insurance


The Affordable Care Act euthanized old school underwriting and introduced subsidies and risk sharing, too much and not enough for an insurer that succeeded in the old market. Read more »

AHIP looking for CEO to 'galvanize vision' across next decade


AHIP's new CEO will need to continue the legacy of defending an industry, as well as help shape policies and market approaches for the still uncertain era of value. Read more »

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