Anthem

Tightening the screws on pricey imaging exams, health insurer Anthem will no longer allow many patients to get MRI or CT scans at hospital-owned outpatient facilities, requiring them to use independent imaging centers instead. The insurer began phasing in these changes in July and expects to finish by March.

Anthem says the change is aimed at providing high-quality, safe care while reducing medical costs.

Florida Regulators OK Anthem-Cigna Insurance Deal

Apr 4, 2016
Associated Press

State insurance regulators have approved Anthem's purchase of Cigna's Florida companies as part of a broader merger of the major health insurers.

Associated Press

A cyberattack that paralyzed the hospital chain MedStar this week is serving as a fresh reminder of vulnerabilities that exist in systems that protect sensitive patient information.

The battle over drug prices escalated Monday when health insurance giant Anthem Inc. sued Express Scripts, a manager of drug benefits, to get a bigger share of savings on prescription medicines.

Licking Wounds, Insurers Accelerate Moves To Limit Health-Law Enrollment

Feb 4, 2016

Stung by losses under the federal health law, major insurers are seeking to sharply limit how policies are sold to individuals in ways that consumer advocates say seem to illegally discriminate against the sickest and could hold down future enrollment.

Associated Press

Anthem’s fourth-quarter earnings tumbled 64 percent as the health insurer absorbed some sizeable expenses and booked fewer customers than it expected through the Affordable Care Act’s public insurance exchanges.

Florida’s Pam Bondi is one of 15 state attorneys general helping federal officials investigate two pending mega-mergers in the health insurance industry, Reuters News Service reported this week.

Cigna CEO: Marketplace Is Still ‘Version 1.0’

Dec 8, 2015
Associated Press

Cigna CEO David Cordani says the individual market created by the 2010 health law would be better off if insurers were given more flexibility in designing coverage, as well as a more compressed, focused open enrollment period.

Just days after UnitedHealth Group’s CEO said their move into the new marketplace was a mistake, Cordani reaffirmed that Cigna remains committed for 2016, although the firm is so far losing money on that business.

Florida insurance regulators this week will scrutinize two major health plan mergers.

Anthem reported a 4 percent increase in third-quarter profit and beat Wall Street forecasts as the number of people the health insurer covers edged slightly higher.

Leaders of two major health insurers planning multibillion dollar acquisitions made their case to Congress that bigger can mean better in their industry, but concerns are being raised in Washington about how these deals will affect consumers and competition. 

Health insurer Anthem has struck a deal to acquire rival Cigna for $48 billion — a buyout that would create the country's largest health insurer by enrollment.

The combined entity would have an estimated revenue of $115 billion and cover 53 million people in the U.S.

Medicare Slow to Adopt Telemedicine

Jun 24, 2015
Lynn Hatter / WFSU

Donna Miles didn’t feel like getting dressed and driving to her physician’s office or to a retailer’s health clinic near her Cincinnati home.

For several days, she had thought she had thrush, a mouth infection that made her tongue sore and discolored with raised white spots. When Miles, 68, awoke on a wintry February morning and the pain had not subsided, she decided to see a doctor.

Wikimedia Commons

The health care sector has become the hot target for hackers in recent months, according to researchers at Symantec, a leading cybersecurity company that says it's also seeing big increases in "spear-phishing," ''ransomware" and efforts to exploit newly discovered vulnerabilities in software used by a wide range of industries.

Health care offers attractive growth opportunities for cyber criminals looking to steal reams of personal information, as the hacking of a database maintained by the second-largest U.S. health insurer proves.

Scammers Targeting Anthem Policyholders

Feb 10, 2015
Associated Press

Editor's Note: An earlier version of this story has been updated to clarify that policies held by Simply Healthcare Inc. were not affected by the data breach. 

Florida’s Department of Financial Service’s consumer helpline is answering questions from residents whose personal information may be part of a data breach at the nation’s second-largest health insurer.

Wikimedia Commons

Insurers aren't required to encrypt consumers' data under a 1990s federal law that remains the foundation for health care privacy in the Internet age — an omission that seems striking in light of the major cyberattack against Anthem.

Encryption uses mathematical formulas to scramble data, converting sensitive details coveted by intruders into gibberish. Anthem, the second-largest U.S. health insurer, has said the data stolen from a company database that stored information on 80 million people was not encrypted.

Insurer Hit by Major Data Breach

Feb 5, 2015
Associated Press

Health insurer Anthem said hackers infiltrated its computer network and gained access to a host of personal information for customers and employees, including CEO Joseph Swedish.

The nation's second-largest health insurer said it was contacting customers affected by the "very sophisticated" cyberattack and was working to figure out how many people were affected.

Anthem Inc. will take over South Florida's Simply Healthcare Holdings, which manages polices for about 170,000 people with Medicaid and 22,000 people in Medicare, the News Service of Florida reports.

WellPoint, one of the largest investor-owned health insurers in the country, is planning to rebrand itself as Anthem, according to Modern Healthcare.  It’s part of an effort to better connect with consumers, and will go into effect by the end of the year if shareholders approve the name change.