Health Plan Weekly

News Briefs

✦ Having now satisfied all necessary regulatory requirements, Centene Corp. and WellCare Health Plans, Inc. closed their $17 billion deal on Jan. 23. Centene is the country’s largest managed Medicaid insurer and...
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‘Hotspotting’ Study Stirs Debate About Social Determinants with Chart: Health Care ‘Hotspotting’ Program Shows Little Effect on Medically Complex Patients

In the health care industry, it’s become almost dogma that a small number of “superutilizers” — typically patients with complex medical and social challenges — are driving a disproportionate share of costs...
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Supreme Court Agrees to Decide if PBMs Fall Under ERISA

The Supreme Court has agreed to hear a case that observers say ultimately could upend state-based efforts to regulate PBMs and potentially even lead to legislation on the federal level to rein them in. The lawsuit, ...
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UnitedHealth Owes Strong 2019 Results to UHC, Optum Units

UnitedHealth Group beat analysts’ earnings-per-share estimate for 2019’s fourth quarter, driven by strong performance in both its UnitedHealthcare and Optum segments. For the full 2019 calendar year, earnings...
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Individual Insurance Market Had Profitable, Stable Performance in 2019

The individual insurance market’s financial performance remained stable in the first nine months of 2019, despite the repeal of the individual mandate tax penalty, according to a recent analysis by the Kaiser Fami...
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News Briefs

✦ The Trump administration and Republican state attorneys general filed a countermotion against a bid by Democratic state attorneys general and House Democrats to speed the Supreme Court’s review of the U.S. Cou...
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2020 Outlook: For Insurers, There’s More Than One ACA Court Case to Watch Chart: Texas v. United States: A Look Back

Though the upcoming elections will shine a bright spotlight this year on the health care policy positions of lawmakers and the Trump administration, the courts will play just as big of a role — if not more — tha...
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AHIP Launches Pilot to Field-Test Automated Prior Authorization

Health insurer trade group America’s Health Insurance Plans (AHIP) is partnering with six insurers to test systems and technology designed to automate parts of the prior authorization process in a bid to develop b...
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Wall Street Analysts Are Mostly Bullish on 2020 Outlook for MCOs

Analysts from major financial institutions are cautiously optimistic about the value of managed care organization stocks during 2020, citing a more stable regulatory environment and rising revenues across the indust...
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MCO Stock Performance, December 2019

Click here for a pdf of the full issue...
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