December 05, 2016

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Today's Rundown

  1. Q&A: Humana, Oak Street execs: Keys to a value-based pact

  2. Aetna-Humana trial primer: A look at how the deal evolved

  3. Insurers may not be doing as poorly as advertised on Affordable Care Act exchanges

  4. Verma could give states more power to redesign Medicaid

  5. U.S. healthcare spending skyrockets to $10K per person

Featured Story

Q&A: Humana, Oak Street execs: Keys to a value-based pact

These days, value-based arrangements are common between traditionally adversarial entities like providers and payers. But making these partnerships successful requires a lot more than just signing a risk-sharing contract.


Top Stories

Aetna-Humana trial primer: A look at how the deal evolved

Today, Humana and Aetna square off against the Department of Justice in one of two antitrust trials that could reshape the health insurance industry. Aetna and Humana have also been much more in sync than Anthem and Cigna, a feat Aetna CEO Mark Bertolini credits to cultural alignment and a proactive integration effort. Still, the deal has not been without controversy of its own.

Insurers may not be doing as poorly as advertised on Affordable Care Act exchanges

Health insurers' criticism of the Affordable Care Act exchanges may obscure the fact that those same critics' individual market business shows signs of turning a corner after the first few volatile years of the healthcare reform law.

Verma could give states more power to redesign Medicaid

If Seema Verma is confirmed as the next head of the Centers for Medicare & Medicaid Services, it could pave the way for states to experiment more freely with their Medicaid programs. But it is still too soon to tell whether the program she designed in Indiana will be successful.

U.S. healthcare spending skyrockets to $10K per person

Healthcare spending in the United States grew at a rate of 5.8% and reached $3.2 trillion in 2015. The increase was driven by the rising cost of private health insurance, hospital care, physician and clinical services, and prescription drugs.

News of Note

In a Facebook Live appearance, President Barack Obama urged the public to tell Republicans not to repeal the Affordable Care Act. The law has improved millions of lives over the last six years, he said, adding that the country can't go "backward." Video

Two units of Penn Treaty American Corp. could soon form one of the nation’s costliest insurance failures ever, highlighting the widespread problems that have plagued the long-term care insurance industry for more than a decade. Wall Street Journal article

Regardless of what happens to the Affordable Care Act marketplaces under Donald Trump, outdated and inaccurate provider directories are likely to continue to be a problem for consumers. New York Times article

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