Reimbursement

WellCare Health Plans has completed its acquisition of Advicare Corp.'s Medicaid business, which includes the transfer of approximately 30,000 members to WellCare of South Carolina.

UnitedHealth Group Inc. is leaving California's insurance exchange at the end of this year, state officials confirmed Tuesday.

The use of advanced analytics by payers can improve administrative and medical costs, provider satisfaction and member health.

The Centers for Medicare and Medicaid is revising its policy to include shared savings ACOs in its upcoming Comprehensive Primary Care Plus program.

In Ohio, Coordinated Health Mutual is in receivership due to its extensive financial losses in the exchange market under its InHealth Mutual brand, according to Lt. Gov. Mary Taylor, who is also Ohio Director of Insurance.

The federal government is already pushing providers towards more risk, so it's not surprising that many are going all in by sponsoring a health plan.

In another provider-insurer collaboration, Texas Health Resources and Aetna on Thursday announced the formation of a jointly owned health plan company.

In the report issued Thursday, Blue Shield for the first time listed total compensation for its 10-highest paid executives by name. The company also offered details, such as base salary and incentive awards.

News that a CareFirst BlueCross BlueShield subsidiary will stop selling bronze level plans on the Virginia marketplace next year prompted some speculation that it could signal a developing movement by insurers to drop that level of coverage altogether. The reality may be more complicated and interesting, some experts said, based on an analysis of plan data.

Missouri state regulators on Wednesday said they will not support Aetna's proposed $37 billion takeover of Humana, according to documents filed May 24 by John M. Huff, director of the Department of Insurance, Financial Institutions and Professional Registration for the state.