Experts say insurers are entering more state exchanges in 2015 because they recognize the shift toward a more consumer-oriented market and they see the risk pool getting more balanced as enrollment grows.
Kevin Counihan, who headed Connecticut's successful state-based Obamacare exchange, has tough challenges ahead as the first CEO of HealthCare.gov, the federal insurance exchange that serves 36 states.
The Republican GOP governor, who's trailing in the polls in his re-election contest, received CMS approval Aug. 28 for his Medicaid expansion plan.
One of Obamacare's biggest success stories this year was that millions of previously uninsured Americans got coverage through the law's expansion of Medicaid to low-income adults.
The not-for-profit insurer, half owned by Fairview Health Services, rocked Minnesota's already-struggling insurance exchange when it announced in September it would exit the exchange market for 2015.
The mergers and acquisitions storm in the life sciences blew in fast and furious in the second quarter and petered out just as quickly. But the ripple effect roiled subsectors of the healthcare industry that previously had been quiet.
A growing number of specialist practices, insurers and health systems are moving toward the specialist-based medical home model.
For the Up & Comers class of 2014, Modern Healthcare's editors received more than 150 nominations from a wide variety of healthcare provider, insurer and supplier organizations. Predicting from among that group who will emerge as healthcare's household names over the next few years was no easy task.
We have all been hearing and reading about millennials—that dynamic, upstart generation of young adults who are shaking up the way we live and work.
A growing number of U.S. patients are having dialysis at home. But experts say Medicare payment policies, cost issues for providers and patients, patient demographics and physician comfort levels have gotten in the way of broader use.
The $25 billion dialysis industry faces transformation as it moves from offering a profitable niche service to what insurers see as a cost center under the population health-management approach.
Medicare is surfacing in political attack ads leading up to the Nov. 4 elections in several races that could determine which party controls the senate in 2015—and how much power congressional Republicans will have in wrangling with the Obama administration over the ACA and other healthcare...