Susan Morse

WellCare will provide Medicaid and Medicare services to Mission Health's six hospitals, other providers.

The health system pays the claims, accepts the risk of a health insurer, but does not sell coverage directly to consumers.

Envelope flaw allowed others to see patient information on options Aetna's health plan offers when filling prescriptions.

CEO Michael Dowling blames federal risk adjustment program that cost CareConnect millions.

The number of consumers in these plans has dropped from 330,000 to 50,000, and those that remain have gotten older and sicker without new customers to balance the risk pool, according to the insurer.

Replacement process not yet announced, but the outgoing CEO will remain on job through the first half of 2018.

Interventions lead to fewer prescriptions, less opioid consumption by aggressively limiting opioid dose and duration of therapy at the initial first fill.

The money is going to programs to improve health through telemedicine, at home care, portable technology, transportation and drug and other screenings.

CMS will focus only on providers and suppliers that have high claim error rates or billing practices that vary significantly from their peers.

Centene, Blue Cross Blue Shield in individual states, others, fill gaps left by Anthem's exit from exchange market.