News
Seventy-three health systems and providers sold their own health plans on the ACA exchanges this year.
Molina Healthcare is acquiring a financially beleaguered Medicaid plan from a nonprofit insurer trying to preserve another managed care business.
Given the shift of healthcare resources to primary and preventive care, there are real, long-standing problems with the health insurance model that could be solved uniquely when the payer is owned by the provider business getting paid.
The Utah health systems said it will take full ownership of Amerinet, which serves 83,000 members.
Four months until the ICD-10 deadline, and the American Medical Association is peddling the logic of waiting for the next iteration of the disease coding system, or at least delaying a bit more.
Health insurers in one large West Coast state now have to disclose claims data that for decades was proprietary, in a reluctant but heralded move towards transparency.
Health insurers need to change their silver-tier health plans to use more modest and predictable cost-sharing, instead of four-figure deductibles, according to patient advocates.
Assistant Secretary Jan Frye claims VA improperly spent at least $5 billion a year on medical equipment, sparking inquiry.
Perhaps the biggest value-based challenge on the finance side is the lack of a single set of metrics by which to gauge quality.
The surge in accountable care organizations and other network affiliations between healthcare providers is spelling big financial opportunity for hospital vice presidents of network development, a position that experts say is key in connecting the clinical and the business side of a health network.