A systems-based approach to improving health considers all factors involved in caring for patients and the many factors that influence one's quality of life. The integration of people, processes, policies and organizations is critical to promoting better health at lower cost.
High-deductible health plans have aided employers in containing healthcare costs without immediately leading to more expensive healthcare needs for patients, new research suggests.
As an industry, we have arrived at a moment when even fee-for-service stalwarts see the handwriting on the wall: The current reimbursement system is not sustainable. We must find better ways to align the interests of patients, payers and providers.
The belated disclosure that not-for-profit insurer Blue Shield of California lost its tax exemption last summer raises questions of whether other not-for-profit insurers and hospitals may face similar scrutiny of their finances and community-benefit record.
Mark Clare has been named principal adviser for strategic initiatives at Purdue Healthcare Advisors in West Lafayette, Ind.
Consumers with unpaid medical bills will get new leeway before those bills appear as black marks on their credit history under a new set of credit-reporting standards released this week.
The emergence of new specialty breakthrough medications has come with a hefty price tag that may demand alternative financing approaches to ensure they remain accessible to patients, a new analysis suggests.
Hospitals, health insurers, physician groups and community health centers, fearing financial damage and patient suffering if millions of Americans lose their coverage, are just beginning to sketch out contingency plans in the wake of the oral arguments last week in King v. Burwell.
Health plan officials will gather in Washington amid ominous ambiguity about the future of the Affordable Care Act's private insurance expansion.
Kevin Lewis, CEO of Maine Community Health Options, a not-for-profit, consumer-governed health insurer, outlines why his plan has been in the black while other co-op plans have lost money and what will happen if the U.S. Supreme Court strikes down the ACA premium subsidies. He spoke with Modern...
Tax-exempt hospitals have until the end of the year to comply with Affordable Care Act rules to hold on to their tax breaks, but a group that includes tax-exempt health insurers and community health centers wants the ACA rules replaced.
The popular stereotype of the role played by medical malpractice insurers in the nation's healthcare system is not positive. And it's true that hospitals and their insurers can be wary and contentious partners, tied together by financial necessity and the stark realities of a litigious society. But...