Gregory A. Freeman is a contributing writer.
California state regulators are investigating Aetna's coverage decisions and whether physicians properly review claims. The concerns may be overblown, however.
A survey of health plan leaders suggests they are realizing what consumers already knew: High deductibles keep people from obtaining needed proper healthcare.
Hospital CFOs are likely to welcome the most recent foray from Amazon into the healthcare market, as it should lead to lower supply costs, second only to labor as a major cost center, an investment banking analyst says.
The Amazon health plan promises to accelerate the disintegration of traditional healthcare silos. Health plans may be facing the same upheaval that Amazon brought to retailers.
The company reported benefits from the recent corporate tax reform bill. Anthem also increased medical enrollment over the previous year.
Doctors are ordering more advanced laboratory and genetic tests than ever before, and the reimbursement cost can hit health plans hard. Expenses can be cut without harming patients, one expert says.
Healthcare CFOs are facing demands for growth at the same time payers are looking for lower costs. Proper management of capital resources is becoming the key to making it all work.
Hefty tax on generous health plans delayed two years. A repeal may be more likely than ever.
The health plan denies payment if a patient goes to an emergency department and the diagnosis is not a true emergency.
Shorter sign-up period and lack of advertising did not trim ACA exchange enrollment. But the uninsured rate may increase in 2018.