Healthcare reporter for Bloomberg News

Insurers Face Tighter Oversight of Medicaid Plans in Proposal

bloomberg.com — In the first major overhaul in more than a decade, the U.S. has proposed new rules for private health insurers who run Medicaid plans covering millions of poor people and children. The proposed rules, issued Tuesday, call for plans to report what portion of the money they collect to care for patients actually gets spent on benefits.

Obamacare Setback Has Humana Attempting a Georgia Turnaround

bloomberg.com — Obamacare has been great business for U.S. health insurers. Just not everywhere. Georgia is Humana Inc.'s second-biggest market for insurance policies sold under the health law, and the home of what may be its biggest misstep. The company is now attempting a turnaround as it tries to make its strategy of selling coverage directly to consumers a success.

N.Y.’s Schneiderman Proposes Free Birth-Control Access Law

bloomberg.com — Insurers would be required to increase free access to contraceptives in New York under expanded coverage requirements proposed by state Attorney General Eric Schneiderman. A bill set to be introduced in Albany Monday by Schneiderman would impose expanded coverage requirements and steeper hurdles for denying benefits or passing along costs to consumers.

Obamacare Experiment May Expand After $384 Million in Savings

bloomberg.com — An Obamacare experiment to lower health-care costs may expand after recording more than $384 million in savings in its first two years, Health & Human Services Secretary Sylvia Mathews Burwell said Monday. The department is now considering how to broaden the program to other parts of Medicare.

Obamacare Risk Fund May Pay Just 10% of Insurer Claims, S&P Says

bloomberg.com — There may be just $1 in the piggy bank to cover every $10 in claims at an Obamacare program designed to spread risk among insurers, Standard & Poor's said. The "risk corridor" program was designed to bolster plans that suffered losses on health-care insurance exchanges, in part by taking funds from those that turned a profit.

AstraZeneca’s Nexium Gets Most Spending in Medicare Drug Program

bloomberg.com — AstraZeneca Plc's treatment for heartburn attracted the most spending of any single drug under Medicare's drug benefit program. Spending on Nexium was $2.53 billion in 2013, the Centers for Medicare and Medicaid Services said Thursday, following by GlaxoSmithKline Plc's Advair Diskus at $2.26 billion.

Anthem Profit Beats Estimates as Insurer’s Enrollment Climbs

bloomberg.com — Anthem Inc., the second-biggest U.S. health insurer by market value, posted earnings that topped estimates as membership climbed. First-quarter operating earnings were $3.14 a share, beating the $2.68 average of 19 estimates surveyed by Bloomberg. Net income was $865 million, or $3.09 a share, up from $701 million, or $2.40 a share, a year earlier, the Indianapolis, Indiana-based company said Wednesday in a statement.

Gilead Should Disclose Risks of High-Priced Drugs, ISS Says

bloomberg.com — Investors should push Gilead Sciences Inc. to disclose more information about how the drugmaker sets prices for some of its costly treatments, an influential advisory firm said. Institutional Shareholder Services Inc., which advises major stockholders, backed a proposal from the union group UAW Retiree Medical Benefits Trust that calls for Gilead to tell shareholders about risks related to pressure to lower the price of high-cost drugs in the U.S.

Aetna Raises Forecast as Earnings Rise on Insurance Enrollment

bloomberg.com — Aetna Inc., the third-largest U.S. health insurer by market value, boosted its full-year forecast after reporting earnings that beat analysts' estimates as about 1 million more people signed up for coverage. Operating earnings this year will be $7.20 to $7.40 a share, the Hartford, Connecticut-based company said Tuesday in a statement.

Anthem Replaces California Lawn Amid Drought, Thanks to Subsidy

bloomberg.com — Anthem Inc. replaced 12.7 acres of lawn -- about 10 football fields -- at its Woodland Hills, California, campus, taking advantage of a government subsidy to install drought-friendly plants as the region copes with a severe dry spell. Using funds from the Los Angeles Department of Water and Power, the second-biggest U.S.
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May 27, 2015

RT @annaedney: icymi: U.S. proposes tighter oversight of private insurers that run Medicaid and children's health plans bloom.bg/1LHovYA @ZTracer

May 26, 2015

RT @sfeldmeyer: Insurers Face Tighter Oversight of Medicaid Plans in Proposal bloom.bg/1HJEB3t via @business

May 26, 2015

Medicaid covers 70 million people (which is a lot of people) and here are new rules bloomberg.com/news/articles/…

May 26, 2015

RT @RichardRubinDC: What's amazing about this IRS breach is that it's really a drop in the bucket of tax-refund ID theft. Big bucket. bloom.bg/1KlxQFj

May 26, 2015

here we go *CMS PROPOSES RULE TO STRENGTHEN MANAGED CARE FOR MEDICAID

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