Consolidation in the insurance industry means Medicaid beneficiaries have fewer coverage options under managed care, according to a new analysis from PWC.
Following the exodus of UnitedHealthcare and Aetna from insurance exchanges established by the ACA, President Barack Obama met Monday with the heads of some of the remaining payers to discuss the future of the federal insurance marketplace.
California medical consumers will enjoy strong new protection against surprise out-of-network medical bills starting next July, under a hard-fought bill overwhelmingly approved by the state legislature this week. It's widely expected that Democratic Gov. Jerry Brown will sign it.
The ability to mine data to forecast probabilities and trends, and ultimately manage risk, is possible through predictive analytics and the professionals who make this possible.
Xerox conducted a study with over 750 U.S. adults who are healthcare decision makers. Get the latest insights on what consumers want in the new healthcare economy.
Under value-based healthcare, providers are compensated for healthy outcomes rather than each service provided. Hear what healthcare experts have to say.
While there is optimism around the shift to value-based care, payers and providers have a long list of concerns. Where is the industry finding the most challenges now?
Thank you for the April 25 cover story “Breaking the system,” drawing attention to how state budget battles are preventing numerous citizens from accessing services that are integral to their health and well-being. We've noticed the same trend in instances where healthcare overlaps with...
One of the most comprehensive, independent studies of commercial healthcare prices shows that employers and insurers that provide private health coverage pay a lot more for services depending on the state where people live.
The CMS announced three payment rules that propose increased payments to skilled-nursing facilities, inpatient rehabilitation facilities and hospice care, and implemented new quality measures.
The White House’s effort to quantify the nation’s progress on converting to alternative payment models is about to kick off with a gathering of heavy hitters in the healthcare industry.
One of the frustrating things about healthcare data is that they live in silos, so the user experience is far from seamless. But that's becoming unacceptable with the growth of high-deductible health plans and the corresponding wave of healthcare consumerism.