Marketplace Issues/Stability
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…
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.
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…
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.
AHA, health organizations letter to CMS regarding its decision to suspend billions of dollars in annual payments to insurers as required under the Affordable Care Act’s risk-adjustment program.
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.
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.
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.
AHA comments to CMS on the proposed rule amending the definition of short-term, limited-duration health insurance.
Walmart is in preliminary talks to buy health insurer Humana, according to people familiar with the matter.