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Care coordination networks are a mainstay of the Affordable Care Act's cost reduction goals. Accountable care organizations are the most widely recognized of these networks, yet by no means is design of these business arrangements simple or straightforward.
What was once thought to be a Hail Mary attempt by Affordable Care Act opponents is now starting to look like a clear pass with a chance of being caught.
Despite backlashes against health screenings in corporate wellness programs, many Americans are open to a trade-off if it saves them money, though not necessarily lifestyle changes.
Though supply chain professionals are keenly aware of the importance of quality and cost, their clinical counterparts may not be as familiar with an organized movement to link these two components with patient outcomes.
In eastern Massachusetts, Steward Health Care is closing the 196-bed Quincy Medical Center, amid continuing financial losses, competition from rivals and a decentralization of traditional hospital care.
More and more states are turning to all-payer claims databases to try to bring the ideas of transparency and shopping to reality.
Federal officials are preparing the first major regulatory update to Medicaid managed care in a decade, promising to challenge insurers but also fix long-standing issues and offer routes to business standardization.
How will a long-time health insurance executive fix the healthcare financing crisis in a state with some of the most expensive and advanced medical care on the planet? Starting in January, Massachusetts is going to find out.
Hospitals dependent on Medicaid disproportionate share allocations must discover new financing models for low-income patients, or else lobby their state governments to make policy changes.
The re-election of Republican governors in closely contested races in Florida, Georgia, Wisconsin, Maine and Kansas dims the chances of Medicaid expansion in those states.