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News

Insurer M&A activity likely to grow this year

Once health reform is dealt a final "yeah" or "nay", merger-and-acquisition activity among the nation's health insurers is likely to pick up steam. That means deal making should be "a little more... Read more...

Senator challenges health plan claims on medical spending

Ask your typical national health plan, and they'll tell you that they spend somewhere in the range of 87 cents per premium dollar on medical payments. Of course, they call that the "medical-loss... Read more...

Aetna refuses payment for never events, requires corrective action

Aetna has announced a new policy under which it will refuse to pay for care related to a group of 28 adverse events, and what's more, require providers to take a series of reporting and corrective... Read more...

SPOTLIGHT: FL health plans increase prices 25 percent

During the first three quarters of 2008, health insurers hiked up per-member, per-month costs for emergency department and out-of-area services a substantial 25 percent. Health plans in Florida say... Read more...

Moody's predicts that non-profit hospitals may sell to for-profits in 2009

Everyone knows that it's not easy being a not-for-profit hospital chain these days. The question is what strapped non-profits--struggling for access to capital on one and and burdened by bad debt on... Read more...

Non-profit health plans question for-profit switch by Horizon

A group of not-for-profit health insurers and providers have their back up over Horizon Blue Cross and Blue Shield's application to convert its corporate structure to for-profit status. The group,... Read more...

SPOTLIGHT: Health insurers bearing down on imaging costs

First, the indefatigable Sen. Chuck Grassley (R-IA) says he's introducing a bill that... Read more...

Insurer troubles could mean more bad debt for providers

In recent weeks, health insurers have started announcing financial results, and the news hasn't been good. WellPoint, for example, Read more...

Press Releases

Press Release: Pay for Performance in Healthcare Gets an “Incomplete” Report Card

Pay for Performance in Healthcare Get an “Incomplete” Report Card Says PricewaterhouseCoopers Report Universal Measures, Greater Financial Incentives for Doctors Needed to Improve Quality New Read more >>