AIS's Health Business Daily is a daily email newsletter with strategic business stories written by experienced AIS Health reporters, as well as other information of interest to health care business leaders — including news from the nation’s leading health insurers, developments from the federal and state governments that impact the health care industry, and exclusive datapoints from Subscribe now to get an issue delivered to your inbox every morning!
January 31, 2017

Hot Topic

This week all eyes are on Anthem Inc., which reports earnings Wednesday and awaits a federal court ruling on its proposed acquisition of Cigna Corp. Here’s a look at AIS’s recent coverage on the topic:

Court Blocks Aetna-Humana Deal; Is Anthem-Cigna Next?
AIS Health

Anthem Leaders Likely Regret Pushing for a Speedy Trial With DOJ
The AIS Report on Blue Cross and Blue Shield Plans*

Anthem’s Cigna Deal Is All but Kaput, and That May Be Good News for Blues Plans
The AIS Report on Blue Cross and Blue Shield Plans*

* Not affiliated with the Blue Cross and Blue Shield Association or its member companies.

Today's AIS Health Datapoint

47.5 million ... members are covered by UnitedHealthcare's primary medical plans nationally, representing 14% of the national market share.



Quote of the Day

“The decision to issue warning letters, without imposing fines, could be seen as a moderate action from CMS, especially given the tone of the report. CMS might choose to be tougher next time around.”

— Michael Adelberg, senior director at FaegreBD Consulting and a former high-level CMS Medicare Advantage official who had a leading role on network-adequacy issues there, tells Medicare Advantage News about the agency’s enforcement actions against health plans with inaccurate provider directories.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "CMS Provider Directory Review Results In 21 Warning Letters; Fines Could Follow" (Free for MAN subscribers; $17 for non-subscribers.)


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