Risk Management

Cigna's leaders thought the deal was rife with corporate governance problems and lacked security in the face of Anthem's own uncertainties.

According to iVantage, these hospitals excel at managing risk, achieving high quality, outcomes and patient satisfaction while running on lower reimbursements and charges than their peers.

Health system-run plans grab more members, affect credit ratings, S&P says.

Healthcare payment structures are changing, but won't necessarily hurt healthcare system's finances.

InstaMed shows healthcare providers must give consumers more online and mobile choices for paying their bills while protecting patient data.

The most difficult challenges to value-based reimbursement reside within the cultural and operational sides of the business, and not technology, experts say.

The nature of the risk under the CMS Pioneer ACO and Shared Savings programs is hard for providers to manage. But the Next Generation ACO program has changed the level of risk, offering providers a higher share of savings and new ways to limit unpredictable losses.

With the Oncology Care Model, participating practices will have their chemotherapy treatments tracked and measured for the necessity and outcome of the treatment, as well as the coordination of care that leads up to the cancer treatment.

The parent health system of Massachusetts General and Brigham and Women's hospitals lost $17.5 million in the three months that ended March 31, as the winter's 9 feet of snow kept some patients from coming into the hospitals and clinics.

Given the shift of healthcare resources to primary and preventive care, there are real, long-standing problems with the health insurance model that could be solved uniquely when the payer is owned by the provider business getting paid.