News

A number of changes have affected the success of subrogation in the healthcare insurance setting - changes that financial executives need to be aware of in order to both mitigate negative impact and maximize opportunities.

Across the country, Blue Cross and Blue Shield companies are flooding the new insurance marketplaces with a range of plans, trying to protect membership footholds or expand them – but not in Iowa.

One state is finding new approaches to managing Medicaid frequent fliers.

Of all the health organizations working as Medicaid managed care plans, some provider-based plans are seeing financial gains, sometimes in places where traditional Medicaid HMOs are not.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending August 8, 2014.

As payment moves to value-based models, telemedicine could become an important part of the hospital's financial future. One health system is already planning on the financial benefits by creating a standalone virtual medical center.

Federal health officials are increasingly scrutinizing Medicare Advantage risk adjustment, suggesting policy changes and even clawbacks to come.

Pretty soon, 24/7 digital access to a physician or nurse practitioner could be a standard health plan benefit.

After more than a year of dispute over continuing a contract, insurer and new health system-owner Highmark and the University of Pittsburgh Medical Center have reached a comprehensive transition agreement.

Over the last two decades, patients with chronic and debilitating conditions like arthritis, multiple sclerosis, cancer and immunodeficiency have seen improved treatment options thanks to specialty medications.