News

As payers on behalf of states and the federal government, Medicaid managed care organizations have the potential to drive reforms, and if they don't, they could be on the chopping block.

Providers of Medicare Advantage and Part D plans: look out. Dozens of plans may soon be terminated.

New entrants in the healthcare market could snatch billions of dollars of revenue from traditional healthcare companies if the traditional companies do not move faster to provide services in the setting consumers want.

Centers for Medicare & Medicaid Services leaders point to seniors' wide array of Medicare Advantage and Part D choices as evidence of the program's and insurer's health, but regulators may soon be terminating dozens of plans, unless sponsors pull out first.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending April 11, 2014.

The woman who became the face of the health law's troubled rollout last October is resigning her position as head of the country's Health and Human Services Department.

With the purchase of Ranbaxy and if it can overcome Ranbaxy's troubles, Sun Pharma will find itself in a global leadership position with huge potential for growth.

Sometimes the best solution is the simplest one. That's what some payers are finding out, for instance, with a home monitoring solution that tracks activity, rather than vital signs, for seniors and their caregivers.

Many startups and companies from other industries have physicians, hospitals, insurers and medtech manufacturers in their sights, betting that they can offer better services at cheaper prices for dissatisfied consumers.

Stuck with exchange software too flawed to fix, Maryland Health Connection leaders are choosing a novel solution that paves the way for other beleaguered state exchanges to seek help from their better performing peers.