As more employers explore the advantages of self-insurance and administrative services only contracts, insurers have to find innovative ways to appeal to employers and help them reduce costs and improve care.
Two major private-sector players have launched a bundled-payment model for cancer care that could be a harbinger of more value-based payment arrangements in a wide range of clinical areas.
Two major players in the private sector have launched a fixed-payment structure for cancer care that could serve as a harbinger of more such arrangements as the appetite for such payment reforms continues to grow across the industry.
Federal officials and people representing a wide swath of the healthcare industry met this week to begin tackling the thorny issue of how to automate the patient intake process.
Our society loves the story of a “self-made” man, and even more the one who becomes a baron of industry.
Last month, the CMS quietly fined an Advantage plan in Arizona $146,600 for "systemic" violations. It was one of 30 fines levied against private Medicare plans this year, but they total less than $5 million.
UnitedHealth Group, the nation's largest health insurance company by revenue, is predicting sizable profit growth next year and beyond as the rollout of the Patient Protection and Affordable Care Act becomes more entrenched.
Prem Reddy of Prime Healthcare Services draws fire for wrangling with insurers, shucking unprofitable service lines, using aggressive coding, slashing overhead and fighting unions. Yet his bids for failing systems keep on winning.
Too many participants in the new-look healthcare landscape are attempting to win this new game with yesterday's star players.
Tricare, the healthcare program that covers U.S. military personnel and their dependents, is planning a change that could leave one of the three insurers it now contracts with out in the cold starting in 2017, according to a new draft request for proposals from the program released recently.
Many Illinois consumers who bought health insurance on the year-old government-run marketplace will see modest increases in prices for 2015, and they'll have significantly more choices when they start shopping next week, Gov. Pat Quinn's administration announced Friday.
Health insurers increasingly are building and staffing bricks-and-mortar retail centers to potentially expand their membership base and, most importantly for now, enhance their brand image with the public.