All news headlines

Maryland revamps in vitro coverage mandate for same-sex couples

Maryland same-sex couples who wanted to take advantage of a state law that requires insurers to cover pricey in vitro fertilization treatments used to face insurmountable obstacles. Not anymore. Read more »

Oncologist who ran 'chemo mill,' pushing unneeded treatment, gets 45 years

A Michigan hematologist will likely spend the rest of his life in prison after defrauding Medicare and private insurers, and violating the first tenet of medicine, "Do no harm." Read more »

North Dakota Blues back in the black

North Dakota’s largest health insurer has made a quick turnaround after a year of underwriting losses and lost technology contracts. Read more »

Reducing costs through high-value referral networks

James Colbert, MD, Harvard medical instructor and ACO Learning Network consultant, on the challenges and opportunities of designing high value networks and the data needed to do it. Read more »

Birth control coverage saves women significant money

Women are saving a lot of money as a result of a health law requirement that insurance cover most forms of prescription contraceptives with no additional out-of-pocket costs. But the amount of those savings and the speed with which those savings occurred surprised researchers. Read more »

Deal Flow: Theranos takes diagnostics disruption effort to the East Coast

Trying to bring affordable, painless lab tests to the masses, Theranos is breaking into a new market in collaboration with one of Pennsylvania’s major insurers. Read more »

340B probe raises hospital incentive concerns

Not only are many hospitals getting sizable federal drug discounts, some may be over-prescribing, according to the Government Accountability Office. Read more »

Revealed audit stings Blue Shield of California's image

The case against Blue Shield of California’s tax-exempt status is growing, presenting an additional $40 million to the tax bill, but also the possibility of more drastic state action. Read more »

Double Digits: Who’s had affordable exchange premiums?

While individual premium proposals for 2016 are still pending, data from the ACA exchange markets offer a backdrop to next year’s double digit increases. Read more »

In largest-ever insurance deal, Aetna buys Humana

An old Yankee insurance company is taking over the younger, Louisville-based Humana. It’s a deep dive into Medicare, government-funded health plans and new ways of delivering and paying for healthcare. Read more »

Docs order fewer preventive services for Medicaid patients?

Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, a recent study found. Read more »

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 »

Advertisement. Closing in 15 seconds.