Reimbursement
Modernizing code is essential for payers as technology ages and healthcare evolves. How does it work, and what's on the line?
Of the 24 federally-supported cooperative insurers, one is off to a somewhat disruptive start in the Blue Cross-dominated insurance markets of Iowa and Nebraska.
A new Medicare prospective payment system for federally qualified health centers offers improved reimbursement rates.
Their rates may be somewhat low, but Blues plans tend to pay on time and can be trusted, a survey of health system executives found. Not so for other large insurers.
Amid strong lobbying by business groups, support is growing to end the Affordable Care Act's employer mandate, a change that would see millions more Americans buying their health insurance through exchanges.
Increased admissions drove revenue gains for Tenet Healthcare Corporation and Community Health Systems in the first quarter of 2014 compared to 2013. Both for-profit hospital firms appear confident midway through Q2.
Despite HHS Secretary nominee Sylvia Mathews Burwell getting asked some hard-line questions from lawmakers at a Senate hearing, she did receive overwhelming bipartisan support.
If the contract between Highmark and UPMC expires in six months, western Pennsylvania may become a case study for what some think is the future of American healthcare -- consolidated integrated delivery networks.
Amid the rise of high-deductible health plans and the growing prevalence and burden of chronic diseases, some argue that it may time to rethink the concept and regulation of preventive services.
Once a business on the fringes, the individual insurance market is getting more focus from large insurers like Humana and Health Net.