The insurer, which launched an MAPD product in Colorado last year, is led by former UnitedHealth executive Bob Sheehy.
The new start-up insurance company Bright Health is entering the Arizona marketplace in 2018 in partnership with Arizona Care...Arizona News
Kaiser Family Foundation releases its look at enrollment trends as of 2017.
Some highlights in the June 2017 Issue Brief:
Enrollment in MA plans has grown 71 percent since 2010 with one in three Medicare beneficiaries enrolled in the plans.
Enrollment is concentrated in a small number of firms with UnitedHealthcare and Humana...Arizona News
The insurer filed to push rates up for its PPO and HMO small group major medical products available off exchange
This week the ADOI published its threshold rate review determinations as follows.
On March 17, Humana requested an overall increase of 7.91 percent (minimum. .476 percent to maximum 11.61 percent) for its PPO's...Arizona News
AHCCCS will administer the grant from the Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA)
The grant of $24,343,406 will be awarded during a two-year period and is designed to combat opioid use disorder and opioid-related deaths.
Implementation of the award will begin quickly, in...Arizona News
A cardiologist from Tennessee, Dr. Guy Reed replaces Dr. Stuart Flynn
Dr. Reed will be paid $700,000 a year and begins his new position this summer.
"Dr. Reed has an extraordinary track record as a cardiologist, research-scientist, educator and administrator. He represents the highest quality of academic medicine and research. His...Arizona News
Lines of business impacted are Health Net's commercial, Medicaid and exchange products
The termination now stands effective as of April 30, 2017 for commercial and Health Net Access.
The Hertel Report has learned that Dignity Health is committed to resolving this issue by Monday.
Health Net providers received the announcement April...Arizona News
UHC filed for an overall increase of 11.4 percent for small group PPO and 19 percent for individual PPO
The small group PPO rate change is effective July 1, 2017 and affects UHC's PPOs, non-grandfathered small group major medical offered OFF exchange.
The individual PPO affects Golden Rule's (dba UHC) for individual major medical...Arizona News
After DOJ blocked the deal last summer Cigna filed a $14 billion lawsuit against Anthem
Anthem and Cigna haven't received a decision from a federal appeals court on whether the DOJ's anti-trust concerns could stop the $54 billion merger.
In her February 2017 ruling on the proposed acquisition by Anthem, U.S. District Court Judge...Arizona News
Phoenix Children's Care Network is the largest pediatric-dedicated, clinically-integrated organization in Arizona
The only accreditation of its kind, URAC’s Clinical Integration accreditation gives healthcare networks the support to become clinically integrated and avoid antitrust issues. PCCN was the first pediatric network in...Arizona News
On April 13 the Centers for Medicare & Medicaid Services (CMS) tightened regulations to improve the individual market
Mixed reviews from industry experts accompanied the release of the final rule that shortens the open enrollment period, tightens the application process for special enrollment periods, requires consumers to pay up...Arizona News
The 49-bed, for-profit facility; the first hospital in Green Valley, opened in May 2015 and has gone through three CEOs
The new hospital was first overseen by David Wanger who was replaced by David Covert in January 2016, and by fall Covert was replaced by John Matuska.
No layoffs or changes are expected during an anticipated...Arizona News
Burn victim sues after 2-foot guide wire left in his femoral artery by county doctor causes infection and later, the artery's removal
The District initially rejected the victim's settlement offer of $3.95 million, allowing the victim to ask for additional sanctions against the District.
The Arizona Court of Appeals upheld the...Arizona News
On March 3, AHCCCS announced its decision to award ALTC contracts to Banner-University Family Care, Mercy Care Plan and UHC Community Plan
Bridgeway Health Solutions now serves 5,100 ALTCS members. It was not chosen by AHCCCS for the new ALTCS E/PD contract, which begins October 1, 2017.
The new contracts are awarded for up to...Arizona News
Partnership serves downtown Phoenix
The new institute is located at Banner University Medical Center. Staff will include physicians from The CORE Institute and faculty from the Orthopedic Department of the UofA College of Medicine. Both organizations were enthusiastic about the new venture
“Because of the existing relationship with...Arizona News
Three Arizona hospitals are in the top 1 percent, earning rankings in America's 50 Best Hospitals
According to Healthgrades, the hospitals exhibit exceptional, comprehensive, and consistent quality year over year.
America's 50 Best Hospitals™ are in the top 1% of hospitals in the nation for providing overall clinical...Arizona News
Thanks to the more than 230 people who attended the 2017 Winter Sate of the State, The Hertel Report’s biannual meeting at the Pointe in Phoenix was packed to capacity with healthcare professionals from across the industry.
"It was great to see both old friends from the industry as well as so many new faces," said Publisher Jim...Arizona News
National Center for Health Statistics reports include Arizona data
Reported from the National Health Interview Survey, January–September 2016.
Percentages of persons who lacked insurance coverage, had public health plan coverage or had private health insurance coverage.
Public Health Plan Coverage:...Arizona News
Using her 25 years of diabetes expertise, Dr. Mona Morstein is changing the approach to diabetes treatment
More than 600,000 people in Arizona live with type 1 and type 2 diabetes, according to the most recent figures available from the Arizona Department of Health Services.
Dr. Mona Morstein decided it was time to do something to...Arizona News
The letter is response to Majority Leader Kevin McCarthy's request for governors' suggestions
Ducey’s letter and the larger list of suggestions from his top health staff was sent last week and provided to the AP under a public records request.
Ducey is urging McCarthy to keep tax subsidies for individuals in place for now and to...