News

Among providers trying to get into the insurance game, some are starting off small at the local level, but in a big, growing market segment.

The way blood-based diagnostic tests are performed and paid for could change dramatically if a new company has its way, with the potential to benefit patients and payers at the expense of traditional providers.

As more Americans gain insurance under the federal health law, hospitals are rethinking their charity programs, with some scaling back help for those who could have signed up for coverage but didn't.

In the debate over provider networks, broad access has been the goal of many patient advocates, but some are also warning of unintended consequences of over-regulation.

The Affordable Care Act is boosting short-term finances for insurers and providers alike. Long-term, though, traditional business models appear untenable and health organizations must evolve to remain sustainable.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending August 15, 2014.

For those who haven't heard yet of Theranos, take note because it may be a business disrupter of huge proportions.

One decade after WellPoint Health Networks and Anthem merged into the nation's largest for-profit, publicly-traded Blue Cross company, the insurer is changing its corporate name to Anthem, Inc.

A once-promised truth in pharmaceutical benefits management is unravelling, leaving payers exposed and researchers scratching their heads.

Low-income consumers struggling to pay their premiums may soon be able to get help from their local hospital, but the hospitals' efforts have set up a conflict with insurers.