Reimbursement

Eying the growing healthcare market for global citizenry and travelers, the Blue Cross and Blue Shield Association is helping create what may be the world's largest healthcare provider network.

A new study is adding more questions to the debate over the value of wellness programs, with mixed findings from the food and beverage conglomerate PepsiCo.

Across the U.S., hospital costs are rising while revenue and patient volume are falling. Rural not-for-profit hospitals, in particular, face a challenging financial future, one in which some facilities might close or at least "go hungry."

While certain key generic drugs will take billions in drug costs out of the healthcare system in the next 3 to 4 years, this anticipated decline in spending is masking the growth of specialty drug costs.

The nation's 1,200 nonprofit community health centers receive strong federal support to treat millions of uninsured residents, but still face financial challenges. Some are responding with an unusual strategy -- starting for-profit insurance plans.

Iowa and Nebraska's ACA-supported nonprofit, CoOportunity Health, has sold a lot more health plans in the two states than expected, through a mix of old and new strategies.

Aetna Better Health of Illinois, one of the insurer's Medicaid plans, will test the effect of providing smartphones to home care aides who assist Illinois residents under the state's Integrated Care Program.

With the cost of copayments for cancer pharmaceuticals varying widely, some patients end up skipping doses or stopping some treatments altogether, according to a new study.

If the Obamacare health insurance exchanges are not able to get a good spread of risk -- many more healthy people than sick -- the long-term viability of the program will be placed in great jeopardy.

"The man behind the curtain needs to be exposed" seems to be the sentiment echoed by many critics of today's hospital pricing strategy. Writing in a recent issue of JAMA, Uwe Reinhardt, PhD, a political economist based at Princeton University, put it more bluntly: "Until recently, healthcare in the United States was delivered behind the secure walls of a fortress that kept information on the prices charged for healthcare and the quality of that care opaque from public view."