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Kaiser, Health Net agree to reinstate 1,200 beneficiaries
Two of California's largest health plans have agreed to reinstate a total of roughly 1,200 patients whose policies were rescinded after they began incurring high medical expenses. Under the terms of Read more...
AMA, SEIU ask court to stop UnitedHealth deal
A group of opponents including the AMA and the SEIU Nevada have filed suit to stop UnitedHealth Group's planned buyout of Las Vegas-based health plan Sierra Health Services. The deal already has been Read more...
Panel issues care guidelines for heart implant patients
In the past, much of the discussion over implantable heart devices like pacemakers and defibrillators was over which patients were suitable candidates--and how to get health plans to pay for them. Read more...
ALSO NOTED: Health plans vow premium, reimbursement crackdown; Diabetes drug spending takes lead position; and much more...
> Hoping to calm nervous investors, health plans are promising Wall Street types that they're going to hike premiums and ratchet down payments to providers. Good luck, guys. Read more...
PA health plans pay PCPs to track care
A group of Pennsylvania health plans have come together to create a program paying family doctors and other caregivers to manage patient care more closely. Among other things, the program will make Read more...
Case study: Kaiser physicians go on sales calls
It's not often that prospective health plan members get pitched directly by a physician. But at Kaiser Permanente Colorado, that's exactly what's happening. The HMO has launched a program under which Read more...
SPOTLIGHT: New rules would limit Medicare marketing
Federal regulators have proposed new rules that would set limits on the marketing of private Medicare health plans. The rules would ban unsolicited sales visits and phone calls to beneficiaries, Read more...
Kaiser net income drops 64 percent
Oh, the dismay and rendering of garments that must be taking place in health plan boardrooms of late! Profits have taken a dramatic turn for the worse within several health plans, including Read more...
ALSO NOTED: Group pushing for Medicare e-prescribing requirement; Merck cutting sales force; and much more...
> If this coalition has its way, Medicare reforms will include a requirement that physicians use e-prescribing technology. Read more...
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