Reimbursement

The pernicious effects of America's sedentary culture in many ways mirror the country's expensive, convoluted healthcare system. Powerful healthcare institutions, though, can help change the course on the local level, advocates argue.

Lancaster General Health Community Care Collaborative will be accessible by the payer's Medicare Advantage members in the Pennsylvania region.

Nearly 4,000 healthcare professionals from across the U.S. convened in Nashville last week for America's Health Insurance Plans annual Institute, and the conference theme of "Making Healthcare Work" resonates.

If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed.

Health system-run plans grab more members, affect credit ratings, S&P says.

While a significant overhaul of Medicaid is long overdue, the recent proposals fail to address one of the program's fundamental problems: the trifurcated nature of the program struggles to serve three very different needs.

Talk about sticker shock: Some U.S. hospitals charge patients more than 10 times the rates paid by Medicare.

With near-universal health insurance and an impetus to make healthcare affordable, health systems starting their own insurance plans believe this time is different.

Some promising breakthrough medicines on the market and horizon are going to come with a steep price tag that public payers especially will have to meet head on.

If Elizabeth Holmes has her way, a reinvented blood test will liberate Americans paying for lab tests and help cultivate a new kind of preventative healthcare.