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News Breaks
February 24, 2014
09:47 EDTHUMHumana says evaluating changes detailed in CMS Medicare Advantage notice
Humana stated in a regulatory filing that on Friday, February 21, after the stock market close, the Centers for Medicare and Medicaid Services, or CMS, issued its Advance Notice detailing preliminary 2015 Medicare Advantage benchmark payment rates. CMS has invited public comment on these preliminary rates before releasing final rates on April 7. In the companyís earnings release call for Q4 held on February 5, the company discussed that it anticipated the Advance Notice would result in a decline in Medicare Advantage funding of 6%-7% for 2015, including the impact of the industry fee. "Based upon the 2015 Advance Notice, these same factors as well as the potential impact of CMSís proposed changes to the calculation of Fee-for-Service, or FFS, costs are now expected to result in a funding decline for 2015 of 3.5%-4.0%," Humana said. The Advance Notice also proposes changes associated with enrollee risk assessments that would potentially result in additional significant funding declines. Humana will be providing comments to CMS in support of this critical program. Humana said, "The company is continuing to evaluate the changes detailed in the Advance Notice and the related impact company-wide and by geography. Further, Humana is closely analyzing all operational avenues to address the 2015 preliminary rates and the related impacts upon the companyís Medicare membership and its earnings for 2015. Humana is committed to providing quality care and service to its members through the Medicare Advantage program. The company will be drawing upon its program expertise to comment on the impact of these preliminary rate changes upon beneficiaries as it provides comments to CMS."
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July 22, 2014
13:46 EDTHUMCourt upholds Obamacare subsidies, NY Times says
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10:43 EDTHUMAppeals court bars subsidies in health care law
A three-judge panel of the D.C. Circuit Court of Appeals struck down part of President Obama's healthcare law by siding today with plaintiffs who argued that the law barred the government from giving subsidies to people in states that chose not to set up their own insurance marketplaces. The appeals court stated, "Because we conclude that the ACA unambiguously restricts the section 36B subsidy to insurance purchased on Exchanges 'established by the State,' we reverse the district court and vacate the IRSís regulation." Twenty-seven states decided against setting up marketplaces, and another nine states partially opted out, according to the Washington Post.
July 14, 2014
16:15 EDTHUMHumana, Tenet sign new multi-year national agreement
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07:22 EDTHUMHealthcare Education Associates to hold a conference
4th Annual RISE California Summit to be held in San Diego on July 13-15.
July 10, 2014
07:11 EDTHUMAetna, WellPoint top large-cap Managed Care picks at Jefferies
Jefferies calls Aetna (AET) and WellPoint (WLP) its favorite large-cap picks in the Managed Care space, with Health Net (HNT) its favored name in the small to mid-cap space. The firm believes the market is already expecting strong Q2 results from the sector, and it downgraded UnitedHealth (UNH) to Hold from Buy on valuation and below-peer earnings growth. Jefferies has Buy ratings on Aetna, Health Net, Molina Healthcare (MOH) and WellPoint.
06:23 EDTHUMHealth insurers moving away from fee for service model, NY Times reports
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