Tagged with Humana
Humana Correct Coding Update
Humana has updated it list of correct coding for certain procedure, effective July 6, 2017.
IL – Blue Cross Blue Shield Awaits State Review
For the first time since 1990, the Illinois Department of Insurance will conduct a broad market examination of Blue Cross and Blue Shield of Illinois to see how the insurer treats its customers in compliance with consumer protection regulations.
Humana and Tenet Agree on New Contract
Humana and Tenet have renewed a multiyear agreement to keep all of Tenet’s U.S. hospitals and outpatient centers in Humana’s coverage network.
CMS Removes Medicare Advantage Sanctions on Cigna
CMS has lifted enrollment and marketing sanctions against Cigna for its Medicare Advantage and prescription drug plans.
Anthem Ends Cigna Merger Agreement
Anthem recently announced that it will stop pursuing Cigna. The insurer claims Cigna sabotaged the deal and states it will not pay the agreed-upon breakup fee of $1.8 billion.
Aetna to Exit all ACA Insurance Marketplaces in 2018
Aetna has announced plans completely withdraw from the ACA insurance exchanges for 2018, citing financial losses as the deciding factor, specifically its individual commercial products lost nearly $700 million between 2014 and 2016 and could lose another $200 million this year.
Uninsured Rate Swells to 11.3% in Q1
Gallup-Healthways Well-Being Index poll shows uninsured rate increased to 11.3% in the first quarter of 2017 from a record low of 10.9% in the last half of 2016.
Justice Department Discloses False Claims Act Investigation into Multiple Payers
The U.S. Justice Department recently disclosed that there will be an investigation into four more major health insurers as part of a False Claims Act lawsuit filed against UnitedHealth Group in 2011.
Humana to Exit ACA Exchanges by 2018
Humana has announced its plans to cease sales of individual health insurance plans through the ACA’s exchanges by 2018, potentially leaving more than 150,000 customers without a carrier.
Larger Market Share = Increased Negotiating Power for Insurers
A new study reveals insurers with the largest share of local markets can negotiate lower prices for physician office visits.
Judge Denies Aetna-Humana Merger
A federal judge ruled against Aetna’s proposed acquisition of Humana, maintaining the Justice Department’s decision that the multi-billion deal would be anticompetitive and raise prices for consumers.
