Reimbursement

Despite the government's push to make health information more available, few people use concrete information about doctors or hospitals to obtain better care at lower prices.

In a new oncology program in Florida, Aetna is trying to combine the medical home model with access to advanced care and translational research.

What does managed care even mean these days? As the field has ballooned, its substance has been diluted, though it will still be useful in the new healthcare economy.

Centers for Medicare and Medicaid Services said it expects to include further discussion of the issue in the 2016 prospective payment systems proposal to be published this summer.

The largest publicly run health plan in the nation, L.A. Care, is letting customers who do not have traditional bank accounts to pay their health insurance premiums with cash.

With another round of venture capital, Oscar Health Insurance is getting ready to enter new markets and try to become more than just a niche concierge health plan.

Hospital does not charge for any additional care within 30 days of a hip or knee replacement, covering readmissions, infections, rehab and postoperative care — everything except deficiencies in the joint devices.

As federal regulatory initiatives up the ante on information sharing capabilities inside and outside a healthcare organization, the C-Suite is increasingly finding that a comprehensive terminology management strategy is critical.

Despite facing concerns about conflicts of interest, former UnitedHealth Group executive Andy Slavitt wants to blend the best of the private and public sectors in a bid to optimize the $1 trillion-plus health plans covering 140 million Americans.

What constitutes reasonable limitations and management of contraception as an essential preventive health benefit? In the wake of new data and some consumer complaints, HHS may try to resolve gray areas.