News
In the war for affordably treating the hepatis C liver virus, pharmacy benefits managers are fighting back now that alternatives are becoming available.
More than a century ago, Alabama enshrined a basic protection in the state's constitution shielding its poorest citizens from being forced to pay debts they couldn't afford. But a public hospital in the mostly rural southeast corner of the state has found a way around the law.
As the second largest health insurer formerly known as WellPoint nurtures the new corporate Anthem brand, it's also continuing to grow its presence in the government-funded health plan space.
Deep inside the massive 2015 federal budget are provisions that could rattle the insurance industry as a whole, while also benefiting a few.
Despite failing to win rate rejection authority from voters in November, one insurance commissioner is trying to protect the market by other means, calling out carriers for what are deemed to be "unreasonable" rate increases.
Here's a look at some more recent headlines in the world of healthcare finance.
Last week's initial public offering for biotech company Juno Therapeutics could pay dividends for several Seattle-based healthcare providers as the company brings its cancer treatments to market.
Most healthcare organizations offer benefit programs aimed at keeping workers in both good physical and mental health. But less common are healthcare employers that can prove those same programs actually save the organization money.
Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as "hospital-acquired conditions." Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015.
Revenue cycle management faces serious challenges, the third quarter report from research firm Black Book suggests, placing CFOs in the tough spot of trying to manage the costs of implementation with the need for more comprehensive systems.