Reimbursement

A network dispute could leave a quarter million Californians without access to a large, well respected health system, a story playing out across the country.

The Medicare Payment Advisory Commission has recommended a 3.5 percent increase in the rates paid for inpatient and outpatient hospital procedures in 2016. The group also wants to level the field between what is paid to hospitals and physician offices.

Under a mantra of "consumer centricity," the nation's largest Blue Cross company is taking a long-view on America's changing demographics and insurance access points.

Another co-op insurer is showing signs of struggle, if not financial collapse, as a state regulator steps in.

Health system will cut its workforce of 90,500 by 1.7 percent amid some hefty losses incurred in the expansion.

The nurse turned hospital executive turned chief federal healthcare regulator is leaving the government. Now the industry is left wondering: Who will take the reigns in the Obama Administration's pivotal fourth quarter?

For exchange goers who need specialty medications, navigating their options before committing to a plan can be confusing, a problem insurers need to address if they want to cultivate brand loyalty.

In health insurance prices, as in the weather, Alaska and the Sun Belt are extremes.

Join Healthcare Finance for an online roundtable discussion with industry experts about patient engagement challenges and strategies for finance and revenue cycle teams.

A few months ago, North Carolina's largest insurer was hesitant to reveal hospital payments on a state-mandated consumer information website. Now, it's making a bigger leap with its own online transparency initiative.