As more insurers shift to narrow provider networks to keep premiums down, hospitals increasingly find themselves caught in the middle as patients, insurers and physicians fight over who should pick up bills for services that patients unknowingly receive from out-of-network doctors.
Until this year, it was impossible for healthcare consumers in North Carolina to find out the average out-of-pocket cost for medical and surgical procedures. But in January, Blue Cross and Blue Shield of North Carolina unexpectedly launched an online site that allows the general public to see how...
Iowa's Department of Human Services has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.
Iowa has awarded Medicaid managed-care contracts to AmeriHealth Caritas, Anthem, UnitedHealthcare and WellCare Health Plans, a move that will funnel the state's $4.2 billion Medicaid program into the hands of private insurers.
Modern Healthcare and sister publication Advertising Age are proud to announce the finalists in the second annual Healthcare Marketing IMPACT Awards competition.
Tech-savvy consumers are tracking their daily steps on pedometers, entering their food into calorie-counting sites and participating in online forums. But until recently, their digital health world operated entirely outside the realm they entered once they became ill.
Covered California enrollees will see premiums increase 4% in 2016, exchange officials said Monday. The increase is actually slightly less than the 4.2% jump consumers experienced between 2014 and 2015.
An insurer's transformation: Humana's evolution into Medicare powerhouse offers strong lure to Aetna
An acquisition by Aetna would bring an end to the half-century of radical company makeovers by Humana and create an insurance giant in the fast-growing market for government-subsidized health plans.
The health insurance industry is on the verge of large-scale consolidation as its leaders seek to drive down costs, increase negotiating leverage and boost profits. But that could spur more consolidation among providers to counter the greater bargaining power of a smaller number of big insurers.
America's Health Insurance Plans lost its star leader a few weeks ago, and now a heavyweight member is heading out, too.
Optometrists are working more closely with physicians and insurers to identify patients' chronic conditions and ensure those patients receive appropriate medical care.
Gotcha. That seems to be the game healthcare providers and insurers are playing with consumers when it comes to surprise out-of-network bills. But it's not a promising business strategy. And it threatens to undermine support for the healthcare system's emerging consumer-choice/narrow-network model.