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From Blue Shield of California's recently-announced purchase of a Medicaid plan to Partners HealthCare's hard-fought effort to fold more hospitals into its Massachusetts health system, the volume of mergers and acquisitions...
The industry is challenged by a number of issues in 2015 including cost control, technology threats, and the emerging consumer market.
espite the fact that approximately 2.74 million patients used anti-obesity drugs in 2011, according to information services company IMS Health, the majority of health plans are following the lead of the Centers for Medicare and...
Two goals of the Affordable Care Act (ACA) are to provide more Americans with health insurance and lower the overall cost of healthcare. Managed Healthcare Executive recently asked four stakeholders to share their thoughts on what the...
In many ways, autism is a nightmare condition for health plans. Its prevalence appears to be skyrocketing, it typically requires long-term treatment, diagnoses are being made at younger and younger ages, there is a plethora of...
It is with great excitement that we unveil our network-wide redesign. Please read further to learn more about a few of our new features, and browse around to explore the new site!
As of January 1, 2015, the U.S. Centers for Medicare and Medicaid will only be awarding payments to MA plans that receive 4 stars or higher.

INDUSTRY ANALYSIS
CMS Administrator Marilyn Tavenner ...

CMS Administrator Marilyn Tavenner, a life-long public health advocate tapped to lead the $820 billion federal agency, ...

Two GOP-led states receive approval ...
More enrollees eligible for tax ...
Texas inquires about Medicaid ...

PHARMACY BEST PRACTICES
Limiting drug insurance not the ...

Limiting drug insurance is not an effective strategy for reducing the rising healthcare costs in the U.S., according to ...

Anthem strikes deal with Gilead ...
The rising cost of generic drugs
Specialty drugs and the role of ...

ACCOUNTABLE CARE
Industry expects to recoup ...

Healthcare leaders expect to recoup investments in technology, staff and facilities that support new models of care such ...

2015 for Health Insurers: What’s Ahead?
[BLOG]: Hepatitis C market ...
89 new ACOs join CMS’ Shared Savings ...

POLICY
HHS promoting open enrollment with ...

With the launch of two open enrollment cycles behind it, the U.S. Department of Health and Human Services has turned its ...

House passes two bills affecting ...
Fate of Obamacare uncertain
Supreme Court will hear ACA tax ...

LEGAL
ICD-10's impact on reimbursement

While ICD-10 implementation has been delayed until October 2015, providers must appreciate that many current managed care ...

Federal subsidies questioned
Managing obesity from a legal ...
Be aware of data mining risks

FOR YOUR BENEFIT
Three potential game changers hang ...

In the healthcare industry, most executives have placed huge caveats on their organization's plans for 2015. Looming this ...

Gain narrow network buy-in
Accountable care works
2014 was a year of growth and change ...

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