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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.
AHA recommends policy changes to stabilize individual insurance market
In a statement submitted today to the Senate Health, Education, Labor and Pensions Committee for the <
“The Price Ain’t Right” Ain’t Right Again!
When Gaynor et al. originally released their “The Price Ain’t Right” report on the relationship between hospital prices and market structure in 2015, there were a number of questions and concerns about how they reached their conclusions.
Walmart Reportedly in Talks to Acquire Humana
Walmart is in preliminary talks to buy health insurer Humana, according to people familiar with the matter.