The U.S. District Court for the District of Columbia in January 2017 found that Aetna’s proposed merger with Humana fell afoul of antitrust laws and ordered it to stop. According to Judge John Bates, the efficiencies generated by the merger will not be sufficient to mitigate the anti-competitive effects for consumers, specifically in respect of individual Medicare Advantage plans and of individual commercial insurance on the public exchanges in

All over the world, people are living longer. A large part of this is due to improved treatment for illness; we can see this in the reduction in death rates from cardiovascular disease and the 32% reduction in mortality from chronic obstructive pulmonary disease worldwide in the past 20 years.

HealthMine, a healthcare technology company based in Dallas, Texas, in August 2016 released the results of a study revealing that the majority (62%) believe that all health care plan participants should join a wellness program to help them lower their health care costs. 32% responded that wellness programs helped them reduce the number of sick days logged, and 33% said their wellness program helped them be more productive at

Connecture, an IT company that provides web-based solutions to the health insurance industry, in June 2016 acquired its Chicago-based competitor ConnectedHealth, a benefits technology company that offers an e-commerce platform that helps businesses control costs and ease the process of shopping for personalized insurance benefits online. ConnectedHealth is a private company and was founded in 2009. Based in Brookfield, Wisconsin, Connecture is a provider of a web-based consumer shopping,

CareAllies, a new subsidiary of Cigna, was established in June 2016 to help health service providers transition away from fee-for-service business models to those that encourage greater risk-sharing by establishing their own care organizations or even their own health plans. These goals – value-based reimbursement schemes – are similar to those of UnitedHealth Care’s subsidiary Optum. CareAllies will work with private and public providers to provide the technology and

The average cost of care for a typical American family of four covered by an average employer-sponsored PPO has more than tripled from an average of $8,414 for a family of four in 2001, to the current average of $25,826 according to a report by the Milliman Medical Index. While the percentage increase of 4.7% is the smallest yearly increase yet, it is still well above the increase in

The National Center for Health Statistics (NHCS) in May 2016 reported that the percentage of Americans without health insurance has dropped below 10%, mostly due to provisions in the 2010 Affordable Care Act (ACA) that give federal premium subsidies to low-income individuals to help them underwrite the cost of health insurance. In many cases, the insured pay little or no money to be included under health plans available in

Researchers warn against a particular strain of E-coli bacteria found in Chinese farms and patients that is proving to be resistant to a particular group of veterinary antibiotics called polymyxins. This group of antibiotics is considered to be the last line of defense against food-borne bacteria such as E-coli and salmonella, and its overuse has created a polymyxin-resistant bacteria strain according to a report released in November 2015 in

Health care costs will continue to rise worldwide in 2016 according to the Willis Towers Watson (WTW) 2016 Global Medical Trends Survey of 174 insurers in 55 countries, employers in 34 countries, and 30,000 employees worldwide who have employer-sponsored health benefits. As private medical insurance costs continue to rise, from 7.5% in 2014 and 8.0% in 2015 to a projected 9.1% in 2016, WTW noted that more than half

250 U.S. employers, representing nearly 7 million workers, recently took part in the “2016 Hot Topics in Retirement and Financial Well-Being” survey conducted in late 2015 by Aon Hewitt that revealed plans by large employers to expand their current financial well-being programs for their employees in 2016. The survey indicated that 55 percent of employers currently offer some sort of help for workers in the areas of budgeting, money

Building on a tried-and-tested concept, a great innovation in U.S. healthcare. Reproduced Without Permission from The Onion – Sept 23, 2015 www.theonion.com/r/51369 and kept warm expressly for GBV readers. ROCHESTER, NY—During a meeting with new hires Wednesday to discuss employee benefits, Radian Analytics human resources manager Ellen Schultz is said to have strongly pushed the company’s infinite-deductible health care option. According to sources in attendance, Schultz described the low-premium,

Nursing homes and long-term care (LTC) facilities face rising liability costs in the coming years unless they can find alternatives to litigation. According to a national study that surveyed 35 U.S. providers operating an aggregate 240,000 LTC beds, the overall national LTC loss rate is expected to increase by 5 percent annually, driven by a 3 percent rise in litigation claim frequency. These findings were the result of the

Medical inflation appears to have slowed down in the U.S. in 2015, the average increase of health care rates for mid-size and large employers was 3.2% against 4.4% in 2014 and an expected 4.1% in 2016. Lower utilization levels due to reduced purchasing power of individuals and lower increases in medical prices contribute to this modest and perhaps temporary slow-down. The average total health care cost per employee, including

AXA Group’s AXA PPP healthcare unit in the UK in August 2015 launched its “Corporate Health Plan for Mid Corporates”, geared towards small-to-midsize businesses (SMBs) from 65 to 250 employees, that provides access to medical diagnosis and to approved treatments and drugs to get employees back to health and back to work quickly. Features usually reserved for larger groups include networks of quality-assessed healthcare providers: over 250 hospitals, 400

Shareholders of Aetna and Humana in October 2015 voted separately and approved overwhelmingly the health insurers’ proposed $37 billion merger. Aetna shareholders approved the issuance of up to 127 million common shares to Humana stockholders, who agreed to the terms of the July 2015 merger agreement with Aetna as finalized in July. The deal is expected to close in the second half of 2016 after the approval of state

Allianz Worldwide Care announced in October 2015 the appointment of Alexis Obligi as Director of Sales and Marketing and member of the Executive Committee, joining from Henner where he was Deputy Managing Director of International & Corporate Business Development. Obligi’s appointment follows that of Ida Luka-Lognoné as CEO in July 2015, succeeding Ron Buchan who retired and became chairman of the board. Obligi reports to the CEO and replaces

Sheldon Kenton reports to Robert Lang, Managing Director for Bupa Global, and is a member of the Bupa Global executive team.  The newly created role of Global Commercial Director focuses on sales to corporate clients, on health benefits, as well as on institutional distribution partnerships. Kendon had been with Cigna since 1997, lastly as global head for sales of international employee benefits, and relocates from Philadelphia, PA. He holds

Aetna will acquire Humana for cash and stock valued at $37 billion. The acquisition will push Aetna’s Medicare Advantage membership to  4.4 million and make it possible for the two companies to share knowledge and innovations in order to create better healthcare products, the company said. The deal is subject to regulatory and other approvals; it is expected to be completed in late 2015.