Study finds ACA actually lowered individual premiums

Average premiums in the Affordable Care Act's individual marketplace were 10 to 21 percent lower in the first year of the law's implementation, even while providing better coverage, according to a recent analysis conducted by Health Affairs.   By Emily Rappleye -

Anthem sees revenue rise, but expects losses on ACA plans: 5 things to know

Anthem saw financial gains in the second quarter of 2016 due to an increase in Medicaid membership, but higher costs from the insurer's Affordable Care Act plans dragged down its bottom line.  By Ayla Ellison -

Centene will not bid for Aetna-Humana assets

St. Louis-based Centene does not have the network for Medicare Advantage assets large managed care companies are looking to sell, CEO Michael Neidorff told Reuters.  By Morgan Haefner -

Cigna eyes ACA marketplaces in Chicago, East Coast

Cigna is vying for space in Affordable Care Act marketplaces in Illinois, North Carolina and Virginia, The Hill reported.  By Morgan Haefner -

58 layoffs loom at University of Arizona Health Plans

Tucson-based University of Arizona Health Plans may cut 58 jobs next year following the end of a health plan contract it held since 2005 in the state's most populous county, the Arizona Daily Star reported.  By Morgan Haefner -

Anthem defends merger in full-page Washington Post ad

Indianapolis-based Anthem called out the U.S. Department of Justice in a full-page ad published in The Washington Post Tuesday, defending its proposed $54 billion acquisition of Bloomfield, Conn.-based Cigna.  By Morgan Haefner -

Memorial Hermann Health Plan gains 14k members from Molina of Texas

Memorial Hermann Health Plan will acquire coverage for 14,000 lives in the greater Houston area from Molina Healthcare of Texas.  By Mackenzie Bean -

Clinton applauds DOJ challenge to insurer mega-mergers

Presumptive Democratic presidential nominee Hillary Clinton welcomed the U.S. Department of Justice's lawsuits challenging Anthem-Cigna and Aetna-Humana mega-deals, citing a greater need to make health insurance accessible for all.  By Morgan Haefner -

UnitedHealthcare will pay $150k over unlawful referral requirements

UnitedHealthcare has inked a settlement with the Missouri Department of Insurance, resolving allegations that the Minnetonka, Minn.-based insurer unlawfully required members to get physician referrals before receiving treatment from other in-network providers.  By Morgan Haefner -

UnitedHealthcare absorbs Rocky Mountain Health Plans

Minnetonka, Minn.-based UnitedHealthcare will acquire Grand Junction, Colo.-based Rocky Mountain Health Plans, The Denver Post reported.  By Morgan Haefner -

Aetna-Humana merger hearing postponed in Georgia

Georgia officials delayed a hearing regarding the $37 billion merger deal between Hartford, Conn.-based Aetna and Louisville, Ky.-based Humana.  By Morgan Haefner -

DOD boots UnitedHealthcare from TRICARE contracts worth $58B

The U.S. Department of Defense unexpectedly dumped insurance giant UnitedHealthcare when it inked separate five-year contracts last Thursday with Humana and Health Net to manage TRICARE.  By Morgan Haefner and Alyssa Rege -

Oscar Health to raise premiums, cut networks by more than 50%

Dubbed the "hipster" health insurer, Oscar Health — a New York City-based startup — is making a monumental change to its plan offerings for 2017, according to Vox. By Erin Dietsche -

Centene revenue soars 98% from Q2 2015 to Q2 2016: 4 key points

St. Louis, Mo.-based Centene has released its financial results for the second quarter ended June 30.  By Kelly Gooch -

BCBS of North Dakota launches Blue Alliance pay-for-performance program

Fargo, N.D.-based Blue Cross Blue Shield of North Dakota will initiate a program, called Blue Alliance, aimed at shifting providers from fee-for-service reimbursements to a value-based model, the Grand Forks Herald reported.  By Morgan Haefner -

Alabama physicians prepare for Medicaid cuts

Physicians in Alabama are bracing for Medicaid payment cuts — effective Aug. 1 — in light of an $85 million lapse in the program's state budget, The Anniston Star reported.  By Morgan Haefner -

Arizona to reinstate CHIP program after 6 years

CMS has approved Arizona's request to reinstate active enrollment in the Children's Health Insurance Program, lifting a six-year enrollment freeze. By Brooke Murphy -

Providence Health Plan drops 11,000 members

Portland, Ore.-based Providence Health Plan will cease coverage for 11,000 policyholders in southern Oregon beginning Jan. 1, News10 reported.  By Morgan Haefner -

New York payer drops CCS Oncology

Buffalo, N.Y.-based Independent Health will drop about 560 members receiving cancer treatment from Williamsville, N.Y.-based CCS Oncology after negotiations to initiate value-based reimbursements went unresolved, The Buffalo News reported.  By Morgan Haefner -

Humana to leave ACA exchanges in 4 states

Louisville, Ky.-based Humana will exit several state Affordable Care Act individual exchanges it participated in this year, citing around $1 billion in losses, The Hill reported.  By Morgan Haefner -

Top 40 Articles from the Past 6 Months