Reimbursement

Forty years after the creation of a national regulatory framework for workplace benefits at large employers, employee health benefits are in the midst of another evolution.

The 340B program is critical for hospitals and other providers that serve some of our country's poorest and most vulnerable patients. When providers monitor compliance and track 340B drugs properly, the program can fulfill its intended purpose.

Accountable care has taken a stronghold in today's healthcare environment, and the trend is progressing, according to respondents from Premier's semiannual Outlook survey.

Another state is being offered a federal waiver to expand Medicaid on its own terms, hoping to bring the efficiency of private insurance and new value incentives to the public payer program.

Healthcare organizations are struggling to get a handle on population health and find the necessary data management tools.

Not only are older Americans living longer than in past generations, they also have multiple health problems, according to "The State of Aging and Health in America 2013" report by the Centers for Disease Control and Prevention (CDC).

Payers that want to help their members avoid the worst and most expensive experiences with cardiovascular disease now have more evidence and options.

If you're a Medicare Advantage Plan with a Medicare ACO in your neighborhood, or worse in your network, start sleeping with one eye open.

Wanted: A chief executive to lead a 76-year-old insurance company through a jungle of regulatory challenges, legacy business upheaval and new competition.

Clinical integration and accountable care developments in greater Philadelphia are taking a novel turn, with one large insurer teaming up with a new multi-health system collaboration.