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AHA Comments on DOL Proposal to Allow Association Health Plans
AHA yesterday urged the Department of Labor not to finalize a proposed rule that would allow employers, including sole proprietors, to form association health plans based on geography or industry.
DOJ announces settlement to allow CVS-Aetna merger
The Department of Justice’s Antitrust Division today announced a settlement that would allow CVS Health and Aetna to proceed with their proposed merger if Aetna divests its Medicare Part D prescription drug plans to WellCare.
DOJ, health system settle antitrust lawsuit over health plan contracts
Atrium Health (formerly Carolinas HealthCare System) today agreed to settle, without financial penalty or admission of wrongdoing, a 2016 Department of Justice lawsuit alleging the health system used its market power to restrict health insurers from encouraging consumers to choose providers that offer better value.
Study: For-profit insurers more likely to exercise market power
For-profit insurers are more likely than not-for-profit insurers to exercise market power when they have it, according to a new study by Harvard Business School professor Leemore Dafney.
AHA report examines state marketplace stabilization strategies
A report released today by the AHA offers state-level strategies to help st
New Jersey receives waiver to implement reinsurance program
The departments of Health and Human Services and the Treasury yesterday approved a Section 1332 waiver for New Jersey to implement a five-year reinsurance program for its individual health insurance market beginning in 2019.
Court: Failure to provide 2017 CSR payments to insurer violated ACA
The federal government violated a statutory obligation created by Congress in the Affordable Care Act when it failed to provide Montana Health, an issuer of qualified health plans on the Montana and Idaho health insurance exchanges, its full cost-sharing reduction payments for 2017, a federal judge ruled yesterday.
Study Looks at Factors Driving Health Care Costs
Markets that are less consolidated or less aligned vertically tend to have higher costs, while markets with well-organized provider networks tend to have lower costs, according to a new study.
Humana, Others to Buy Hospice Operator Curo Health for $1.4 Billion
Humana and two private equity firms yesterday announced a definitive agreement to acquire Curo Health Services, a hospice operator that provides care to patients at 245 locations in 22 states.
12 Characteristics of Health Care Disruptors
Long-standing players in the health care market, along with a growing number of new market entrants – including tech behemoths and aggressive startups – have driven a flurry of activity in the health care space in 2018. And the pace of this activity has only increased in the last six months of the year.