Third Party Administrators

September 11, 2015 | Susan Morse

As a Standard & Poor's report finds many insurers are missing the mark on their risk-adjustment predictions, a new partnership between population health management consultant Evolent Health and Health Fidelity, which develops technology to steer providers towards value-based care, aims to fill the gap.

September 8, 2015 | Kaiser Health News

California legislators passed a bill postponing a controversial plan that would have shifted tens of thousands of medically fragile children into Medi-Cal managed care plans.

September 8, 2015 | Susan Morse

Managed care company Molina Healthcare said it will pay $200 million for the remaining stakes in two subsidiaries of The Providence Service Corp.

September 1, 2015 | Henry Powderly

While hospital merger and acquisition deals in the second quarter of 2015 slid when it came to volume, the total dollar amount of the deals jumped on a few major takeovers, according to new research by PricewaterhouseCoopers.

May 13, 2015 | Jay Hancock, Kaiser Health News

In the late 1990s you could have taken what hospitals charged for inpatient chemotherapy and bought a Ford Escort econobox. Today average chemo charges are enough to pay for a Lexus GX SUV, not even counting the price of anti-cancer drugs.

May 6, 2015 | Anthony Brino

As long as employer-sponsored benefits are here to stay, one technology company wants to be a modern kind of broker and HR service. It may or may not spell an early retirement wave for a generation of insurance producers.

March 24, 2015 | Anthony Brino

Silicon Valley is coming for the employer sponsored health insurance business, trying to raise the bar on group health benefits and "democratize" self-funding.

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.

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