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Third Party Administrators

 
February 27, 2015 | Anthony Brino

The Internal Revenue has released temporary regulations and proposals for the health "9010" insurance fees required by the Affordable Care Act.


February 18, 2015 | Anthony Brino

Once again, insurance practices on cost-sharing and reimbursement for out-of-network providers and PPOs are ending up in dispute, with backlash from providers and customers.


February 11, 2015 | Anthony Brino

In the wake of Anthem's massive data breach, a storm of class action lawsuits are raising concerns about information protection, liability and regulation.


January 26, 2015 | Anthony Brino

Cigna is acquiring a hospital-owned managed care company that serves a fairly diverse customer base of employers, providers and even potential competitors.


November 12, 2014 | Anthony Brino

Taking stock of its diversification strategy, the nation's largest health insurer is creating a new enterprise oversight unit, moving around some key leaders and saying goodbye to others, all before a big enrollment push.


November 11, 2014 | Richard Pizzi

The California-based nonprofit health system and HMO Kaiser Permanente is hustling and bustling this year.


October 21, 2014 | Anthony Brino

Insurers that trace their ancestry back to the first days of American health insurance are now facing potentially existential challenges.


July 22, 2014 | Anthony Brino

A direct primary care company is targeting employers with a new self-funding model that could spell disruption for the third-party administrator business.


July 15, 2014 | Anthony Brino

Group plans are increasingly expanding their consumer-directed health plans with health savings accounts, after toying with lower deductibles and reimbursement account wrapping.


July 7, 2014 | Anthony Brino

The insurer-owned Allegheny Health Network is partnering with a national cancer center to offer new therapies and trials in western Pennsylvania, a sign of heightening regional competition and the emergence of new models for pursuing innovative treatments.


June 16, 2014 | Anthony Brino

Even amid delays in enforcement of the Affordable Care Act's employer mandate, tax and reporting regulations are sowing confusion among employers and putting large businesses on edge.


May 9, 2014 | Kelsey Brimmer

Increased admissions drove revenue gains for Tenet Healthcare Corporation and Community Health Systems in the first quarter of 2014 compared to 2013. Both for-profit hospital firms appear confident midway through Q2.


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