News

With a new study showing both inpatient reductions and specialty care increases linked to high-risk medical home patients, health systems have more evidence to buy into the PCMH model as part of their clinical and financial improvement strategies.

Having IT is a necessity for hospitals, but for many, having an IT team to support that technology is a luxury. Here are some tips from experts on creating an IT team on a budget.

With a new study of Independence Blue Cross members, evidence on the effectiveness of the patient-centered medical home is swinging back towards the positive.

Aetna has won a huge state contract in Texas, pulling away 415,000 lives from Blue Cross Blue Shield and with them several billion dollars in revenue.

Healthcare Finance News talked to Donald Berwick, MD, about the importance of shifting mindsets and business models to embrace the morality of caring for patients and society.

What's driving the highest per capita healthcare spending in the country? A half-decade's worth of government-funded research points to some contentious and perhaps uncomfortable trends.

Physicians groups want to preserve a key antitrust exemption for self-referrals under Medicare that the Obama Administration hopes to end for a number of costly services.

Health insurers can expect an increasing number of consumer education challenges around prescription drug management, as utilization controls are more prevalent in public exchange plans than in typical group insurance.

Entrepreneurial doctors looking for an alternative to hospital employment and solo practice and seeking increased business opportunities are turning to an emerging option - the mega-group.

With open enrollment coming to a close, public insurance exchanges are starting to look like they won't be the money-loser many have been girding for, at least for WellPoint's health plans.