The quarrel over surprise medical bills continues to escalate, and emergency room physicians are now suing the Obama administration in a bid to shift more of the blame to insurers.
Consolidation—the acquisition of one competing business entity by another—is an ongoing issue in the health insurance and hospital markets. After consolidation, it's common that fewer choices and provider networks are available.
New York insurers asked for large premium increases as a way to counteract rising costs, and in some cases, gargantuan losses. Insurers selling plans to individuals requested a 17.3% average increase and those selling small-group plans asked for an average 12% rate hike.
As Aetna and Anthem fend off flak over their pending mergers, they'll battle criticism from shareholders this week who say they don't divulge the full extent of their political sway.
HHS has finalized a rule that bans discrimination against transgender people throughout the healthcare system, carrying out anti-bias provisions in the Affordable Care Act. The final rule comes amid the U.S. Justice Department's heated fight against a North Carolina law.
Bankers and lawyers are enjoying a considerable bounty from the two huge pending insurance mergers, while regulators are still deciding whether to let them happen.
Regarding the recent article “Presence Health rethinks its Lean initiative,” Lean and Lean Six Sigma are needed in healthcare more than ever. I
As hospital margins on traditional fee-for-service Medicare patients plunged deeper into the red, cost-cutting at hospitals has allowed many to make up those losses from their commercially insured clientele.
In most presidential election years, the politics of healthcare at least has a nodding acquaintance with reality. This year, the two aren't even on speaking terms.
Advocate Health Care CEO James Skogsbergh has begun his term as chairman of the AHA's board of trustees. In an interview with Modern Healthcare, Skogsbergh, a former college baseball player, didn't duck the high hard ones on the challenges facing the AHA and Advocate.
Cigna Corp. reported stronger-than-expected profit in the first quarter, but the health insurer's stock fell after the company hinted that its proposed tie-up with Anthem may not get regulatory approval this year.
The CMS laid the responsibility of ensuring that some of the country's poorest residents receive timely, high-quality care on the 39 states and the District of Columbia that contract with private managed-care plans to provide Medicaid services.