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Managed Care February 2006 John Carroll	Consolidations Should Bring Nationwide Contracts The whole is often greater than the sum of its parts, and that is proving to be the case with health plans. Will we end up with just 4 or 5 competitors?
The Motley Fool October 16, 2009 Brian Orelli	Congress to Insurers: Say Goodbye to Your Monopoly There's growing support in Congress to repeal insurers' federal antitrust exemption.
Managed Care December 2006 MargaretAnn Cross	Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs.
Managed Care December 2002 Frank Diamond	Blues on the Move The resurgence of what was once primarily known as the insurer of last resort has been breathtaking. Can it be sustained? Even better, replicated?
Managed Care December 2007 John Carroll	How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use.
BusinessWeek October 9, 2006 Joseph Weber	UnitedHealth vs. HCA: It's Ugly UnitedHealth's contract dispute is leaving patients and docs out in the cold.
BusinessWeek January 12, 2004	Health Care: The Patient Will Live, But... Employers and consumers will continue to get hammered by rising premiums, but health-care costs will rise a bit more slowly, which is good news for insurers.
Managed Care March 2004 John Carroll	Narrow Networks' Broader Vision Throughout the late 1990s, the fashion in managed care networks was bigger and bigger. These days, though, health plans around the country have begun sizing up so-called narrow networks once again.
BusinessWeek July 23, 2009 Catherine Arnst	In Most Markets, a Few Health Insurers Dominate A publicly funded plan would increase health-insurance competition, forcing powerful players to bring down costs
The Motley Fool May 29, 2009 Brian Orelli	The "Naughty List" You Want Your Company On Athenahealth is out with its annual review of how quickly health insurers are paying the claims that doctors make for services.
Managed Care June 2005	Things Look Rosy for Large Insurers According to a recent industry overview, big insurers are set to improve profitability while expanding market share in 2005-2006.
BusinessWeek October 1, 2009 Sasseen & Arnst	Why Business Fears the Public Option Executives contend that it will lead health-care providers to charge patients in private plans higher rates.
Managed Care November 2005 Ed Silverman	How Many More Quarters of Profits on the Way? The current underwriting cycle for health insurance is long in the tooth, but experts still see profitability ahead.
The Motley Fool February 9, 2006 Stephen D. Simpson	Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching.
Managed Care September 2003	Anthem Blocked In Bid To Buy BCBS of Kansas The consolidation of member plans in the Blue Cross and Blue Shield Association has hit yet another snag. The Kansas Supreme Court on Aug. 6 upheld an order blocking the $190 million sale of the not-for-profit Blue Cross and Blue Shield of Kansas to Anthem, a for-profit operation.
Managed Care July 2002 Frank Diamond	Premium Hikes: No Cause for Celebration Lost market share and further erosion of public trust will be the long-term by-products of this short-term solution.
Managed Care June 2007 MargaretAnn Cross	What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists.
Managed Care July 2004	Premium Hikes Slow As Plans Seek Members The opening murmurs in negotiations between health plans and large employers have been heard. Insurers are expected to seek an average 13.7 percent hike in premiums in 2005, according to a survey of 160 large employers.
Managed Care February 2002 Mick L. Diede & Richard Liliedahl	Getting on the Right Track Converging forces are an economic train wreck waiting to happen. Avoiding a disaster requires an understanding of the interconnection of health care's stakeholders and the global consequences of their actions...
Managed Care June 2002 John Carroll	States May Become Battleground In Push for Collective Bargaining Physicians at a local Texas hospital gained certification as a bargaining unit, and approached a managed care company to negotiate pay, but the effort failed. A new bill would allow physicians to ease toward collective bargaining nationwide.
Managed Care October 2003 Ed Silverman	Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate!
Managed Care May 2007 Lola Butcher	Massive Databases Under Construction Insurers and employers are busily compiling databases to control costs and improve care, but physicians are laying claim to the data.
Managed Care January 2007	Headlines on Deadline ... State budgets got an unexpected gift last year... Mortality rates for hospitals ranked high... It looks likely that Massachusetts Gov. Mitt Romney will run for president... etc.
BusinessWeek February 11, 2010 Nussbaum & Tirrell	Health Reform Is Dead. Let's Go Shopping Thriving insurers and hospital chains may start to gobble up competitors weakened by the recession.
Managed Care July 2006 John Carroll	Proposal Would Limit Profit of Some California Plans California's insurance commissioner thinks some insurers have the potential to gouge the consumer, and wants to mandate a high medical loss ratio.
Managed Care October 2005 Bob Carlson	What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.
CFO February 1, 2007 Karen M. Kroll	Pin the Tail on the Doctor A dearth of information leaves health-care consumers in the dark. As health-care information becomes more accessible, will employees use it to purchase health-care services more intelligently?
Managed Care July 2005 Stanley Hochberg	Insurers Can No Longer Afford Not To Share Some Data Pay-for-performance programs imply improved patient care, but are frustrated by fragmented data collection and reporting systems.
Insurance & Technology January 22, 2009 Nathan Conz	Highmark and Independence Blue Cross Withdraw Merger Applications Highmark Blue Cross Blue Shield and Independence Blue Cross have announced that they have withdrawn their applications to merge, citing opposition from the Pennsylvania Insurance Department.
Managed Care July 2003 Ed Silverman	A Little Something For the Physicians Health plans know that getting along with physicians is important, and many are trying new initiatives. Here are some successes.
BusinessWeek March 31, 2011 Peter Waldman	Aetna's Rx for High Doctor Fees: Lawsuits Aetna's legal campaign against expensive out-of-network charges is just the latest attempt by insurers to restrain soaring health costs.
Managed Care September 2005 Martin Sipkoff	The Private Sector Can, Should, and Will Help Solve the Problem of the Uninsured WellPoint Chairman Leonard Schaeffer and other health plan leaders believe they can help with the chronic societal issue of uninsured Americans.
BusinessWeek May 29, 2006 Howard Gleckman	Medicine's Industrial Revolution Medical treatments that are proven to work reach only about half of the Americans who need them, according to a series of studies by RAND Corp. And in hospitals, simple measures that protect patients' lives are often hard to implement.
Managed Care May 2006	AMA Says 1 or 2 Insurers Control Too Many Markets A study by the American Medical Association that says that too many managed care markets are locked up by just one or two health plans.
The Motley Fool March 7, 2008 Brian Orelli	Insurers' Tarnished Reputations Shine Find out which ones rank lowest and why it doesn't matter.
BusinessWeek March 25, 2010 Charlie Rose	Aetna's Ron Williams on Health Care: What to Expect What does this new mandate mean for individuals, companies, and the health-care industry?
BusinessWeek October 20, 2003 William C. Symonds	Get Used To The Pain Another round of double-digit hikes in health-care costs is in the mail.
Managed Care July 2005 Martin Sipkoff	Is Pay for Performance Part of the Cure or the Problem? Paying for performance promises improved quality, reduced cost, and higher income for doctors. So why are some of them worried?
CFO April 1, 2003 David M. Katz	Holes in the Net? Insurers' woes are mounting -- and your company's coverage may be at risk.
Managed Care November 2007 MargaretAnn Cross	The Evolving Health Plan The consumer-directed health care model isn't taking the country by storm, but its innovations are influencing other coverage designs.
The Motley Fool December 10, 2009 Brian Orelli	The Public Option Is Dead. Again. Maybe. So why haven't health insurers' stocks rebounded?
Managed Care October 2007 John Carroll	Early Tiered Networks Encounter Many Obstacles From dodgy data to uncooperative doctors, difficulties confront health plans that are trying to stratify providers by cost and quality.
The Motley Fool September 19, 2008 Brian Orelli	Health Insurers Are Not AIG Health insurers get hammered this week.
Managed Care March 2004	Hospitals Retain Bargaining Edge In Contract Talks Contract negotiations between health plans and providers, primarily hospitals, were mild in 2002 and 2003, compared to how they played out in 2000 and 2001.
Insurance & Technology April 6, 2010 Anthony O'Donnell	Healthcare Reform Will Require Massive Insurance IT Spending Caught off guard by the passage of the Patient Protection and Affordable Care Act of 2010, insurers must modernize IT while increasing operational efficiency.
Managed Care December 2002 MargaretAnn Cross	Advisory Boards Create Company-Plan Cooperation Very effective if used properly, these panels are not yet widespread. However, that could change as industrial customers demand more input.
Managed Care December 2002 Diane Cook	Beware the Hidden Consequences of the Malpractice Crisis Soaring malpractice insurance rates are thinning out provider ranks in at least a dozen states. Could access problems pose issues for HMOs in those areas?
Managed Care April 2004 MargaretAnn Cross	Medical Directors Find Themselves Working More Closely With Payers As large companies become more demanding of health plans, clinical executives are increasingly being relied on to provide advice and expertise.
Managed Care October 2005 MargaretAnn Cross	Just How Will CDHC Change Your Job? Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans.
Managed Care February 2004	Overall, a good climate in 2004 Operating performance is expected to be strong this year, thanks to moderating medical costs and rate increases that are forecast to run between 10 percent and 12 percent, on average.