health insurers

Pharmacy Community Reacts to Cigna/Express Scripts Deal
Pharmacy Community Reacts to Cigna/Express Scripts DealCritics point to reduced competition, higher costs.
Six healthcare marketing trends for 2018Here are six healthcare impact trends that will challenge marketers in the upcoming year.
New Legislation Aims to Prohibit DIR FeesBills have been introduced in both the Senate and House that are aimed at stopping direct and indirect remuneration fees, assuming they are passed.
Fed up providers pursue provider-sponsored health plansA recent survey suggests suggest a lack of access to appropriate commercial payer arrangements is causing health systems to explore alternatives.
Four factors driving provider-sponsored health plan growthMarket forces are converging, giving momentum to provider-sponsored health plans.
Insurers set performance-based price for heart drugIn one of the few arrangements of its kind, Cigna Corp and Aetna Inc. struck a deal with Novartis for a performance-based price for its heart failure drug, Entresto.
Three ways to establish a value-focused organizationFrom changing leadership to new payment models, find out what to expect and how to succeed in 2016.
Commercial payers: Don't leave money on the tableTo put more risk-based dollars in the bank, payers need to master a new level of gathering and reporting on not just claims data, but clinical data as well.
Building Successful Payer-Provider Partnerships for Cost ReductionHospitals and health plans need each other and can use this relationship to enable improvements that benefit both parties.
Compounding pharmacies bring health plan lawsuitMassachusetts' Harvard Pilgrim Health Care has instituted a policy shift excluding coverage of prescription drugs compounded for adults. Plaintiffs call this "a callous decision" and "a major blow" to the state's many patients who depend on compounded medications.