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WEBBeyond workout apps: The ROI of well-crafted wellness programs. March 31, 2016. Both health insurers and employers have a stake in driving down healthcare costs for their member populations. Increasingly, businesses are turning to payers to …

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UnitedHealth acquires Monarch HealthCare

WEBThe buyer: UnitedHealth (NYSE: UNH), based in Minnetonka, Minn. The acquired: Monarch HealthCare, based in Irvine, Calif. The price: Undisclosed The timeline: Strategic relationship entered Aug. 31, 2011 The scoop: UnitedHealth's health services …

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UnitedHealth wellness program rewards members with lower …

WEBUnitedHealth Group is offering more carrot and less stick in its new wellness program, which can save participants hundreds of dollars on their premiums, according to Forbes. Its Rally Health

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Health insurance exchanges: States must limit adverse selection

WEBThe state-level health insurance exchanges mandated by the Patient Protection and Affordable Care Act (PPACA) are expected to give consumers access to a wider array of better (i.e., higher quality Read more >>

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Medical home must-dos for population health management

WEBThe growing population health movement has led insurers and providers to patient-centered medical homes (PCMH), accountable care organizations and other integrated care models to improve the outcomes and reduce the costs for patient …

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2014 Preview: What's in store for health insurers

WEBNow that the calendar has switched to a new year, the health insurance industry is facing a slew of new developments under the healthcare reform law. So FierceHealthPayer compiled a list of four changes coming down the road that will affect …

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Humana bets on 'lifestyle medicine' to help reduce chronic …

WEBHumana is investing in "lifestyle medicine"--an approach that aims to reduce chronic conditions by emphasizing healthful eating, exercise and community support in an effort to address the fact that more than 50 percent of healthcare dollars are associated …

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Multi-year health plans could aid member retention, wellness and …

WEBPayers who want to retain members long-term and keep them healthy might want to consider offering multi-year insurance exchange contracts, according to a Health Affairs blog post. Insurers are

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Population health management propels hospitals into insurance …

WEBCompetition is inevitably everywhere in the business world. Insurance companies are well aware that their counterparts are always trying to one-up each other, attempting to attract members for themselves while increasing their profits and status in …

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Monarch HealthCare, HealthCare Partners, and Anthem

WEBIRVINE, CA- (Marketwire - May 25, 2010) - Two of Southern California's leading physician-governed medical groups, along with Anthem Blue Cross, have been selected for participation in a new and innovative, nationally-recognized healthcare …

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3 ways an innovative medical clinic can benefit insurers

WEBOne medical clinic may single-handedly transform how primary care is delivered--and insurers could benefit by taking notice. In a post on LinkedIn, Elizabeth Bierbower, president of Humana's employer group segment, wrote about her experience …

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Humana CIO Brian LeClaire on health IT must-haves

WEBBy Alicia Caramenico. With the healthcare analytics market projected to be worth more than $21 billion by 2020, it's no surprise data analytics is a priority for Brian LeClaire, (pictured right) Humana's senior vice president and chief services & …

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Aetna is best health plan, UnitedHealthcare is worst, hospital execs

WEBWellPoint/Anthem is difficult to deal with, "incredibly bureaucratic" and pays poor rates. But UnitedHealthcare gets top honors as the worst healthcare payer for the fourth year in a row, according

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Health Payer Healthcare Payer Payer Fierce Health Payer

WEBIn April 2015, Tricare spent $545 million on compounded pharmaceuticals, more than 58 times its monthly spending just three years prior. The spike in spending marked the peak of a gradual increase in spending on compound drugs that accelerated …

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Humana cuts back on ACA exchange plan offerings

WEBRecent research from the Robert Wood Johnson Foundation points out that two-thirds of insurers are reducing or stopping their preferred provider organization (PPO) plan offerings in 2016. And a new analysis from Avalere echoes this finding, as it reports …

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Another CO-OP shuts down: Kentucky Health Cooperative won't …

WEBFaced with financial difficulties, Kentucky Health Cooperative, Inc. has become the latest state-based consumer operated and oriented health plan to fail, as the health plan announced it will discontinue selling policies at the end of the year.

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Centene finalizes merger with Health Net

WEBCentene has finalized its merger with Health Net, creating the largest Medicaid managed care organization in the country while two other major insurer mergers still await regulatory approval.

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