Category Archives: Health Insurance

Centene’s Agreement to Acquire Magellan Health Bolsters Medicaid Business

The transaction also adds 2 million PBM members and 16 million medical pharmacy members, enhancing the scale of Centene’s pharmacy platform with leading capabilities in specialty drug management

ACA Supreme Court Deliberations and Any Impact on Biosimilars?

If the court strikes down the ACA entirely, biosimilars on the U.S. market or in the FDA approval pipeline would have to either be grandfathered in or face a regulatory wind-down

Walmart Accelerating Health Insurance Strategy to Provide Medicare Coverage

After more than a decade of transforming health care for its associates and customer base, Walmart is intent on playing an even larger role

Kaiser Permanente Washington Introduces Virtual-First Health Plan

In response to increasing patient demand for telehealth this year in which 90 percent of Kaiser Permanente Washington patient visits are now by telephone or video,

Highmark’s Strategy to Contain Drug Costs Includes an Increasing Number of Outcome-Based Contracts

Pharmaceutical manufacturers and payers have developed a number of agreements under which reimbursement is contingent on specific outcomes over the last few years

Humana Increases Home Care Capabilities Through Heal Partnership

Humana plans to serve as a partner in health and aging, delivering a personalized and simple experience through an integrated, value-based health ecosystem

Aetna Responds to Employers Shifting Attitude On High-Deductible Health Plans

Aetna’s new designs, called Upfront Advantage and Flexible Five, offer members coverage for some preventive services before they meet deductibles

Bright Health Plan Announces 2021 Expansion Plans

Bright Health Plan’s 2021 expansion will include Medicare Advantage, individual and family plans in six new markets in Florida, North Carolina and Illinois. For the first time, they will also be offering employer-sponsored plans in certain markets, subject to final regulatory approval.