Humana dumps ACA plans as feds blast its Aetna deal

By Bob Herman Just as the U.S. Justice Department formally moved to block the merger between Humana and Aetna, Humana said it is significantly reducing its individual health plans sold on and off the Affordable Care Act’s exchanges. Read more…
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How employee trust affects the bottom line

Written by Tamara Rosin Building a culture of trust — among employees, as well as between employees and the leadership — has a direct impact on a company’s productivity and financial performance. Contrary to popular belief, establishing a high-trust culture is not a “soft&
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CMS says $42 billion saved with fraud prevention, provider screening efforts

By Shannon Muchmore The CMS saved about $42 billion in fiscal years 2013 and 2014 through program integrity efforts, according to a report to Congress released Wednesday. The CMS attributed the savings to increased provider enrollment and screening standards as well as fraud preventio
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Obamacare’s Medicaid expansion leading to health insurance boom in some states

By Dan Mangan The U.S. Supreme Court decision that upheld most of Obamacare also rejected the section of the Affordable Care Act that would have compelled states to expand eligibility in their Medicaid programs to nearly all poor adults. Read more…
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GOP platform holds back on health policies except in social issues

By Shannon Muchmore The Republican Party platform released Monday at the 2016 convention is strongly conservative on social issues related to healthcare and contains little in the way of new ideas. The platform calls for a halt to the Affordable Care Act, shifting Medicare to a premiu
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Justice Dept. Will Seek to Block 2 Health Insurance Mergers

By LESLIE PICKER and REED ABELSON The Justice Department is preparing lawsuits to block two giant health insurance deals, according to a person briefed on the matter, continuing a spate of antitrust actions in a whirlwind year for mergers and acquisitions. Read more…
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UnitedHealth’s Profit Surges

By TOM MURPHY, AP Health Writer UnitedHealth’s second-quarter earnings jumped 11 percent to trump expectations even though the nation’s largest health insurer took a bigger hit than expected from coverage linked to the Affordable Care Act. Read more…
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Did new addiction treatment bill miss an opportunity to strengthen state drug-monitoring programs?

By Steven Ross Johnson Patient advocates say a bill passed by Congress last week that ostensibly decriminalizes drug addiction will no doubt open doors for those seeking treatment. But others say the legislation is a lost opportunity to strengthen the country’s ability to track
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CMS and FDA advocate for device identifiers on claims forms

By Adam Rubenfire The heads of the CMS and the Food and Drug Administration want universal health insurance claims forms to include unique device identifiers. The UDI would improve post-market surveillance and provide for better value-based reimbursement based on device performance, t
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A more Affordable Care Act: Proposed IRS rule would improve access to pediatric dental care

By Erin Robinson Last week, the Internal Revenue Service (IRS) proposed a new rule to change the way tax credits are calculated for families who purchase coverage for their children from the new health insurance marketplaces. Under the proposed rule, the IRS would consider the cost of
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