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June 19, 2015 | Anthony Brino

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.


May 5, 2015 | Anthony Brino

With new data from the Medicare Pioneer ACOs, accountable care advocates can be cautiously optimistic, although the pessimistic can also find things to latch onto as well.


May 4, 2015 | Anthony Brino

Amid record enrollment, some Medicare Advantage insurers are finding their payment-linked risk scoring practices to be the subject of scrutiny and lawsuits.


May 1, 2015 | Anthony Brino

As part of a bid to improve federal healthcare programs through transparency, a new trove of Medicare Part D data has been released, offering a window into costs and prescribing trends.


April 27, 2015 | Anthony Brino

Blue Cross and Blue Shield companies are setting up their own insurance exchange for retirees switching to individual Medicare plans, a bid to secure lifetime customers from in a new population of seniors.


April 16, 2015 | Jordan Rau, Kaiser Health News

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.


April 10, 2015 | Anthony Brino

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.


April 9, 2015 | Anthony Brino

The Blue Cross Blue Shield brand may bring the idea of a consistent kind of health insurance, as the winner of one "health plan brand of the year" poll. But in Medicare Advantage satisfaction ratings, that is not the case.


April 7, 2015 | Anthony Brino

For the third year, regulators have revamped reimbursement reductions into an average increase for Medicare plans serving America's growing senior populations, though not without requiring more work and oversight.


March 26, 2015 | Anthony Brino

Cigna is looking for business in younger, yet-to-retire baby boomers in California, anticipating the benefits of streamlining the path from group health plan to Medicare Advantage.


March 9, 2015 | Anthony Brino

An increasingly popular strategy in drug plan affordability is again coming under scrutiny from Medicare regulators concerned that some urban seniors are being left out.


March 3, 2015 | Anthony Brino

One of the largest Blue Cross insurers in the American South has taken its first loss in 15 years, showing the challenges of the two main growth areas, ACA plans and Medicare Advantage.


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