Reimbursement

Corporate wellness skeptics are out early this year, arguing that the data is squarely on their side and that simpler, laissez faire approaches could be more effective.

Salinas, California topped spending for all three procedures: $60,375 for a coronary stent placement; $57,990 for a total hip replacement; and $25,924 for a laparoscopic appendectomy.

Once again, insurance practices on cost-sharing and reimbursement for out-of-network providers and PPOs are ending up in dispute, with backlash from providers and customers.

An estimated $22 billion in healthcare spending would be lost due to those losing coverage under the Affordable Care Act, according to a new report by the Urban Institute of the Robert Wood Johnson Foundation.

Many health plans are looking for ways to maximize their performance in the new year. Payment integrity can help plans and other healthcare organizations operate more efficiently. But where to begin?  

Workers at Seattle's largest employer are signing up in droves for new ACO health plans led by regional health systems, who see the model as ripe for growth.

The U.S. Department of Defense can look like a benefits company "that occasionally kills a terrorist." The agency has to overhaul its healthcare contracting, especially TRICARE, according to advocates.

"Credit monitoring for a breach of your identity data, medical or not, is like handing out umbrellas in a tornado." This is a fitting analogy, as healthcare is amidst a converging storm of cyber security; four forces fairly unique to other industries seem to plague the healthcare ecosystem at a confluence.

The Minnesota-based insurer expects to partner with up to 250 new ACOs this year.

The nation's largest insurer is making leaps in the journey of consumer-driven healthcare, improving its digital offerings and investing in new member incentives.