Reimbursement
The economic and professional appeal of DPC has caused it to spread to at least 24 states. Scalable models are being developed and increasingly attract investor dollars.
WellCare has been trying to shake off its past transgressions and grow amid speculation of being a target for acquisition, and now its executive suite is ready for business.
The pressure is growing on Republican Governors to expand Medicaid in some way, and more state executives are turning to managed care and market-based approaches to bring in federal dollars.
Tennessee Gov. Bill Haslam this week proposed a "private option" Medicaid expansion policy for the state, the latest Republican state executive to back a managed care or market-based approach to bring in federal dollars.
UnitedHealthcare and the University of Texas MD Anderson Cancer Center are piloting an episode of care, or bundled, payment model for patients being treated with head and neck cancers, a collaboration they describe as among the first to use bundled payments in a large, comprehensive oncology center.
The nation's largest insurer is starting a new bundled payment pilot in oncology with one of the most prestigious providers in the field, in an experiment they hope will be yield beneficial evidence and grounds for expansion.
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
One of the nation's largest health systems is struggling with its new health insurance business, leading to the first loss in 15 years.
Whether to cancel a company health insurance plan and let workers buy insurance on the online exchanges is an issue that arises for every small-group employer. But businesses shifting workers into the individual exchanges tend to be the very smallest.
Once in a while, a key voice in the reform movement turns out to be a skeptic, arguing that the changes being implemented are too prone to producing more of the same.