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Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, a recent study found. MORE
The right to marry in any state won't be the only gain for gay couples from last week's Supreme Court ruling. The decision will probably boost health insurance among gay couples as same-sex spouses get access to employer plans, say analysts and benefits consultants. MORE
The U.S. Supreme Court has dismissed the challenge to the Affordable Care Act's subsidies in federally-facilitated exchanges, a victory for the Obama Administration but certainly not the last health reform battle. MORE
The Blues have been accused of running health insurance like a mafia for years, but now lawsuits could stick and compromise the family's future. MORE
Despite looming consolidation, health plans and insurers broadly need to attract more younger workers as Baby Boomers retire and markets evolve. MORE
There will soon be one less member company of America's health insurance trade group, a sign of the industry's evolutionary turmoil. MORE
The country's largest state insurance exchange wants to be an active purchaser negotiating on behalf of consumer, and a data-driven convener of affordability and quality. MORE
Oregon's top health insurance regulator is taking the unusual step of encouraging higher premiums in a competitive individual market, where the lowest-cost plan may also be the most disruptive. MORE
Taking a cue from Aetna, Ascension Health and companies beyond the healthcare industry, Tufts Health Plan is raising its minimum base wage. MORE
Anthem is scrambling to save a $53 billion takeover of Cigna, while encountering some deep criticisms of its own future potential. MORE
California health officials failed to ensure that more than 9 million residents enrolled in Medicaid managed care plans had access to doctors when they needed them, the state auditor said in a stinging report. MORE
Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve. MORE
While pent-up demand and new individual customers have contributed to higher-than-hoped-for premium increases, extraordinary claims have been less than feared, leaving some more money to spread around. MORE
Massachusetts health insurers and their small business customers will have another year with a sort-of sharing risk rating system, although eventually they’ll be in for reckoning. MORE
As American society ages and Alzheimer's and dementia besets seniors and their caregivers, there may be ways to make life better until new treatments arrive. MORE
Billions of dollars in ACA exchange subsidies are at risk of being miscalculated and misappropriated, and it seems some already have been. MORE
Almost no one disputes that the implementation of the federal health law has helped Americans who were previously uninsured gain coverage. But exactly how much has the uninsured rate dropped? MORE
Nearly three in four Americans say the costs of prescription drugs are “unreasonable," and most blame drugmakers for those prices, according to a new poll. MORE
The companies at the top of America’s health insurance food chain are hurdling toward what could be some of the largest consolidation deals ever in the healthcare industry. MORE
Once much-vaunted, the broad-based workplace wellness program is coming under more skepticism, as new data suggests the prevailing models may not be achieving some main goals. MORE
CVS Health’s tree of drug management and retail health is growing with grafts from a different, struggling retailer. It’s a chance to expand the reach of CVS's primary care and low-cost generic medicines, among other things. MORE
As health insurance membership grows, so too are profit margins for some of the largest managed care companies, although of course that's not the case for every health plan. MORE
Once a stopgap for people between jobs, short-term policies appear to be enjoying a resurgence, despite hope that consumer interest would decline after the ACA. MORE
Concerns over double digit increases abound, but there are also signs that individual premiums on average and in a lot of places may be modest. MORE
The Affordable Care Act euthanized old school underwriting and introduced subsidies and risk sharing, too much and not enough for an insurer that succeeded in the old market. MORE
AHIP's new CEO will need to continue the legacy of defending an industry, as well as help shape policies and market approaches for the still uncertain era of value. MORE
The pernicious effects of America's sedentary culture in many ways mirror the country's expensive, convoluted healthcare system. Powerful healthcare institutions, though, can help change the course on the local level, advocates argue. MORE
If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed. MORE
Talk about sticker shock: Some U.S. hospitals charge patients more than 10 times the rates paid by Medicare. MORE
With near-universal health insurance and an impetus to make healthcare affordable, health systems starting their own insurance plans believe this time is different. MORE
Some promising breakthrough medicines on the market and horizon are going to come with a steep price tag that public payers especially will have to meet head on. MORE
If Elizabeth Holmes has her way, a reinvented blood test will liberate Americans paying for lab tests and help cultivate a new kind of preventative healthcare. MORE
Leaders of two warring healthcare healthcare institutions argue that a near-duopoly will benefit consumers and patients. The trouble is that a 60-year-old piece of the tax code leaves many without real choice. MORE
The states that set up their own insurance marketplaces have nothing to lose in King v. Burwell, the big Supreme Court case that will be decided by the end of June. But that doesn't mean those states are breathing easy. MORE
At the annual assembly of America’s health insurance leaders, the need for better consumer experiences and more affordability goes without saying. The trouble is transcending the inertia of the old ways. MORE
Where do health insurers fit into the convergence in healthcare, if anywhere? All problems are also opportunities, even if it might be in disguise. MORE
No industry is immune from self-deprecation.  MORE
From behavioral health to oncology, UnitedHealth Group's bustling management and technology subsidiary is trying to synchronize healthcare for populations, providers and individuals. MORE
Americans in public exchange plans are using their benefits, especially for prescription drugs, although in some ways it's different than other health plan segments. MORE
Admittedly, I won't be found listening to country music in Nashville, but there are many interesting forums and sessions worth exploring. MORE
When Wall Street's biggest M&A dealmaker is hired, it would seem that a takeover is in the making, or at least a possibility being mulled. MORE
Inspired by the links between activity, meditation and wellbeing, the country's largest mutual insurer is sponsoring an app to help its members and the public take on stress. MORE
Blue Shield of California is in the position of trying to keep its state tax exemption, while also defending its public image and defining its future mission to customers. MORE
How much overhead in private and government insurance will it take to have universal coverage under the ACA? Quite a bit in one current view of the data. MORE
Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he shopped. MORE
After more than a decade of legal turmoil, physicians in four states have won a concession from the nation's largest insurer to make getting paid less of a hassle, if not to get paid more. MORE
The federal government has crafted the first regulatory change to Medicaid managed care in a decade, as more health plans take the challenge from states to cover growing Medicaid populations at a sustainable cost. MORE
As California goes, so goes the country in capping consumer costs for medicines? That's what patient advocacy groups and and some pharmaceutical companies may be hoping. MORE
A national for-profit giant and Michigan's largest health insurer are coming to a resolution over the long-standing, fractious trade issues of excluding and favoring. MORE
A mix of old and new school insurers are the best health plans in the eyes of the 59,000 physicians and providers using the digital billing and record-keeping services of athenahealth. MORE

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