Five pharmacy regulations health execs must keep on their radars in 2017 March 19, 2017 By Kenneth Maxik Here are five critical regulations that executives can begin to prepare for today. Fed up providers pursue provider-sponsored health plans October 27, 2016 By Aubrey Westgate A recent survey suggests suggest a lack of access to appropriate commercial payer arrangements is causing health systems to explore alternatives. Medicaid Final Rule: Three top line issues to watch October 07, 2016 By Mara Baer MPH In April CMS released final rules outlining significant updates to the Medicaid managed care program. Here are the top issues to watch. CMS proposal could improve risk adjustment model for health plans September 05, 2016 By Aubrey Westgate The proposed HHS Notice of Benefit and Payment Parameters for 2018 indicates CMS is focusing on refining the risk adjustment model to better compensate plans. Are exchanges failing? Five plan participation updates August 19, 2016 By Aubrey Westgate As Aetna bows out of health insurance exchanges, more questions about viability are cropping up. Find out which other plans are exiting the health insurance exchanges. Four ways health plans can enroll more members To generate leads, convert prospects and keep members engaged, health plans must employ a high-touch, multi-channel healthcare marketing strategy which will be much more effective and enroll members who may have not otherwise done so. Marilyn Tavenner discusses AHIP’s strategy August 04, 2016 By Aubrey Westgate AHIP’s president and CEO Marilyn Tavenner discusses the association’s top priorities, challenges, and opportunities. Payer mega mergers in question: Industry expert weighs in July 27, 2016 By Aubrey Westgate Michael Abrams of Numerof and Associates healthcare consulting firm discusses how the DOJ’s actions to block the Anthem-Cigna and Aetna-Humana mergers could affect the industry. Patients demand access to investigational therapies June 07, 2016 By Bryant Furlow Expanded access or “compassionate use” programs allow patients to use investigational treatments, medical devices, or tests, before they have received FDA approval. Generational differences in health plan, provider preferences May 17, 2016 By Kelly Rakowski A recent survey reveals how generational differences affect consumers’ health plan and provider preferences and selections.