CRG Healthcare Update, June 12, 2014

June 12, 2014

Managed Care Headlines

Aetna CEO Says 2015 Obamacare Rates to Rise Less Than 20 Pct

Centene Dodges Bullets In Changing Medicaid Landscape

Health Insurers Push for Change to ObamaCare

Health Law Helped Minnesota Uninsured Rate Drop 41 Percent

Blue Cross Blue Shield of Michigan and Blue Care Network Intend to Double Health Plan Product Offerings for the 2015 Individual Market

What’s Health Insurance Really Going to Cost?


Consumer-Directed Headlines

What To Do If Your Healthcare Records Are Compromised


Employer Headlines

Some Small-Business Employees to Have Only One Health-Plan Choice


Policy & Regulatory Headlines

Senate Health Plan for Veterans Costs May Top $35 Billion

Health Care Remains Drag for Democrats as 53% Oppose Law

Morning Plum: Republicans Still not Winning Argument Over Obamacare


Medicaid & Medicare Headlines

Federal Bungling Of ObamaCare Verification Creating Nationwide Chaos In Medicaid Departments

Virginia Governor May Try to Expand Medicaid on His Own

Medicare Costs Well Under Control So Far in 2014

Mercy Health Blames Lack Of Medicaid Expansion In Plan To Lay Off Hundreds


Pharmaceutical Headlines

Valeant Pharma’s Arguments About Drug Research Are Misleading And Wrong


CRG Healthcare Update, June 10, 2014

June 10, 2014

Managed Care Headlines

Insurers Fill Gaps in Health-Law Plans

CareFirst Seeks Price Hikes for Individual Health Plans

Are Obamacare Premiums Really Plunging 21% in This State?

FL State Seeks to Dissolve Local Health Insurance Company

States Can Shed Light On Health Care Prices

Why the Obamacare Profit Surge Isn’t Over Yet


Employer Headlines

Trader Joe’s Proves That Obamacare Can Free Us From The Wrong Jobs

Employers Push Highmark, UPMC for Details of Transition Plan


Policy & Regulatory Headlines

The Nation’s Most Vicious Obamacare Fight Just Took A Wild Turn

Morning Plum: GOP’s Guerrilla Resistance to Obamacare Alive and Well

Obamacare’s Employer Mandate is Under Attack from Both Sides. Will It Survive?


Medicaid & Medicare Headlines

In Texarkana, Uninsured and on the Wrong Side of a State Line

More Than 1.7 Million Consumers Still Wait For Medicaid Decisions

Senator’s Resignation Complicates Medicaid Expansion Plan in Virginia

The Real Travesty of Virginia’s Medicaid Fight

Home Is Where The Money Is for Medicare Advantage Plans

Taxpayers Face Big Medicare Tab for Unusual Doctor Billings


Hospital Headlines

More Patients Flocking to ERs Under Obamacare


Physician Headlines

State Health Benefit Plan Can’t Seem to Escape Controversy


Healthcare Investing

Are 2 Million “Takers” Cheating Obamacare?


Healthcare Technology

Big Data’s Big Future in Health Care

3 Insurers Jumping on the Smartphone Health Care Revolution



CRG Healthcare Update, June 05, 2014

June 5, 2014

Managed Care Headlines

Health Plans Had Big Premium Hikes before Obamacare

Data Discrepancies in Health Sign-Ups

The Latest Obamacare Glitch and Why It’s (Probably) No Big Deal

Study: Cheapest Off-Exchange Plans 40% More Expensive than Cheapest Exchange Plans

Obamacare In New Hampshire Is Going To Change Drastically — Here’s Why It’s A Big Deal

Moda Health Mulls Raising Premiums for Individual Market as Competitors Drop Rates

Double Digit Premium Increases Coming in Some States 


ACO Headlines

Aetna Readies Plan to Offer ACO Products via Private Exchanges


Consumer-Directed Headlines

Unsubsidized Young Pick ObamaCare Catastrophic Plans


Employer Headlines

Risking a Health Insurance Strategy the I.R.S. May Not Approve


Policy & Regulatory Headlines

House GOP Conflicted on Health Law Alternative

Whistleblower: Health Plan Cheated Gov’t Out of More than $1 B


Medicaid & Medicare Headlines

Medicaid Enrollment Up 15 Percent In States That Expanded Obamacare

How Many People Got Medicaid from Obamacare? It’s Complicated

Medicare Advantage Billing Errors Cost Taxpayers Billions

70 Billion Reasons Why Medicare Advantage Just Got Harder to Defend

Medicare and the Profit Motive


Pharmaceutical Headlines

GlaxoSmithKline Agrees to $105 Million Settlement

A Medicaid Expansion No-Brainer

June 4, 2014

States that expanded Medicaid are seeing enrollment increase faster than states that didn’t, new government data show.

CRG Healthcare Update, June 03, 2014

June 3, 2014

Managed Care Headlines

Centene, WellCare Decline After Analyst Rejects Takeover Speculation

Meridian Health Plan Withdrawing as Medicaid Managed Care Organization in New Hampshire

Why ‘Transparency’ Isn’t Enough for Health Care Prices

Are Pre-Existing Condition Bans For Health Insurance Still With Us?

MNsure’s COO to Step Down in July

VT’s Largest Insurer Seeks 9.8 Percent Increase in Health Exchange Premiums

Five Plans Announced for NH’s Health Marketplace

Maryland Looks to Connecticut for Health Exchange Answers

Payment Problems Continue to Vex WA State’s Online Health Exchange

Healthcare Leadership Must Shift From Cottage Industry To Big Business


Hospital Headlines

Hospital Charges Surge for Common Ailments, Data Shows

Further Evidence of How Weird Hospital Pricing is


Policy & Regulatory Headlines

GOP’s Obamacare Fears Come True

Board OKs $43.5M in Contracts on Health Exchange

MD Won’t Tap Federal Grants for New Exchange


Medicaid & Medicare Headlines

Medicare Advantage Grows, Defies Forecasts

State Survey: 2.9M Medicaid Enrollments Still Unprocessed

Lawmakers Agree to Try Out Jindal Health Plan

Massaging Medicaid


Pharmaceutical Headlines

Chicago Accuses Drug Companies of Pushing Opioids

Pfizer Agrees to $325 Million Neurontin Marketing Accord

GlaxoSmithKline in $350 Million Cancer Drug Venture

CRG Healthcare Update, May 29, 2014

May 29, 2014

Managed Care Headlines

Why the Major Test for Obamacare Premiums Might Wait Until 2017

Industry Titan UnitedHealth Misses Boom in Sector

Blue Cross Cleared to Acquire Lovelace Health Plan on Sunday

What You Can Learn from WellCare’s Growth

Large Healthcare Cost Increases Are Built Into Obamacare Implementation

Top Down Versus Bottoms Up Health Reform

Insurers Hire Outsiders to Help with Consumerization Strategies


Consumer-Directed Headlines

Do People Really Overuse Healthcare When It’s Free?

Obamacare Isn’t Worth It to 72% of Americans


Employer Headlines

The Death of Employer-Based Health Care Doesn’t Have to Be a Disaster


Hospitals & Health Systems

Hospitals Face O-Care Uninsured Funding Gap


Physician Headlines

Physicians, Hospitals Size Up Value-Based Healthcare


Policy & Regulatory Headlines

Blue Cross Parent Firm, HCSC, Sued Over Big Profits, Big Bonuses

House Conservatives Push for GOP Health-Care Bill

Four Insurers Accused of Discriminating Against People With H.I.V.

Award-winning Investigative Journalists Sue Obama Admin Over Medicare Advantage Transparency

Republicans on What Would Replace Obamacare: Hey, Look Over There!


Medicaid & Medicare Headlines

CMS Studying Medicaid Managed Care Plan Rates, Drafting New Rule

Mike Pence’s Indiana Medicaid Expansion: Rhetoric vs. Reality

Report Shows $6.7 Billion in Improper Medicare Payments

Demand for Medicaid is Downward Sloping


Pharmaceutical Headlines

Insurers Scrutinize Drug Costs After $84,000 Sovaldi Surprise

U.K. Rules That Tripped Up Pfizer Deal Have Wall Street Baffled

CRG Healthcare Update, May 27, 2014

May 27, 2014

Managed Care Headlines

Insurers Once on the Fence Plan to Join Health Exchanges in ’15

Obamacare Sticker Shock? Unlikely For Most In 2015

Was the Obamacare Panic Overblown?

Covered California Urging Insurers To Expand Provider Networks


Consumer-Directed Headlines

How are Obamacare Enrollees Using Their New Coverage?

Health Care Cost-Sharing Works — Up to a Point



WH Rules That Employers Can’t Dump Workers into Health Exchanges

New Costs From Health Law Snarl Union Contract Talks


Hospitals & Health Systems Headlines

When Hospital Systems Buy Health Insurers

Ascension in Talks to Buy Insurance Company


Healthcare Investing Headlines

AstraZeneca Shares Fall After Pfizer Walks Away


Medicaid & Medicare Headlines

States Confronting New Concerns Medicaid Costs Will Rise Due To Obamacare

The Bright Side of Medicaid Obstruction

States Consider Using Medicaid To Pay College Health Plan Premiums

Paying for Prescribed Drugs in Medicaid: Current Policy and Upcoming Changes


Pharmaceutical Headlines

Pfizer Not Better Off After AstraZeneca Exit

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