News
Highmark loses $107M on employer health plan stop-loss business
23+ hour, 9+ min ago (417+ words) A big nonprofit health insurer is suffering from the same kinds of problems in the U.S. stop-loss insurance market that for-profit competitors have talked about. Highmark said Tuesday that HM Insurance Group, its stop-loss business, posted an operating loss of $107 million…...
Negative outlook remains for health insurers as high medical costs erase margins
3+ day, 10+ hour ago (188+ words) Officials at the credit ratings company said health insurers are facing low margins across most market segments, and companies likely will focus on redesigning medical plans, reducing benefits, and exiting less profitable markets and geographies this year. Moody's Ratings is…...
Pivot to data driven decision making as legacy health plans underperform
1+ week, 3+ day ago (22+ words) Pivot to data driven decision making as legacy health plans underperform'BenefitsPRO Pivot to data driven decision making as legacy health plans underperform...
Aetna to pay $117.7M to settle Medicare Advantage fraud allegations
1+ week, 5+ day ago (20+ words) Aetna to pay $117.7M to settle Medicare Advantage fraud allegations'BenefitsPRO Aetna to pay $117.7M to settle Medicare Advantage fraud allegations...
Aetna faces no risk of financial loss in health benefits case, federal court rules
2+ week, 1+ day ago (81+ words) Aetna faces no risk of financial loss in health benefits case, federal court rules'BenefitsPRO Aetna faces no risk of financial loss in health benefits case, federal court rules What You Need To Know - Both plaintiffs are participants in self-insured employer…...
Only one major health insurer analyzed earns positive trust score among members
3+ week, 3+ day ago (249+ words) The Broker Innovation Lab celebrates brokers and other benefits stakeholders who have embraced the changing marketplace to position themselves and their business for future success Health insurers have their work cut out for them to regain consumer trust. Only 1 of…...
Humana acquires MaxHealth, adding 82 clinics to CenterWell
1+ mon, 1+ week ago (171+ words) CenterWell, the health care services division of Humana, on Friday announced the acquisition of MaxHealth from Arsenal Capital Partners. MaxHealth, based in Tampa, currently owns a network of 54 primary care clinics, four specialty/ancillary clinics and 24 downstream affiliate clinics throughout…...
Retirees facing $1M lifetime health care price tag in future dollars
1+ mon, 2+ week ago (81+ words) Retirees facing $1M lifetime health care price tag in future dollars'BenefitsPRO Get expert insights and real-world perspectives from leading voices in the industry to help you make more informed decisions. The Broker Innovation Lab celebrates brokers and other benefits stakeholders who…...
Majority of insured adults say prior authorization is a burden to care
1+ mon, 3+ week ago (82+ words) Majority of insured adults say prior authorization is a burden to care'BenefitsPRO Get expert insights and real-world perspectives from leading voices in the industry to help you make more informed decisions. The Broker Innovation Lab celebrates brokers and other benefits…...
Elevance expects to lose more than 180K fully insured group plan enrollees
1+ mon, 4+ week ago (84+ words) About 85% of its own employer health enrollees are now in self-insured plans. Get expert insights and real-world perspectives from leading voices in the industry to help you make more informed decisions. The Broker Innovation Lab celebrates brokers and other benefits…...