Advertisement

Medicaid's unmanaged managed care

By Bob Herman  |  April 30, 2016

A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.

What CEOs really think about the dizzying pace of dealmaking

What CEOs really think about the dizzying pace of dealmaking

By Bob Herman  |  March 05, 2016

Hospitals and physician groups are consolidating, too, but most of the leaders on Modern Healthcare's Power Panel are more concerned about the financial impact of the pending health insurance megamergers.

Does BlackRock's spending spree auger health stock comeback?

By Bob Herman and Dave Barkholz  |  February 06, 2016

BlackRock, the world's largest asset manager, is placing big bets on healthcare stocks. The giant New York money manager, which oversees more than $4.5 trillion in assets, took large positions last year in at least 14 investor-owned healthcare companies and a host of medical-device and equipment...

The health insurance industry's identity crisis

The health insurance industry's identity crisis

By Bob Herman  |  January 30, 2016

Most insurers have embraced the ACA, and it has helped many of them financially through the tacit encouragement of products such as high-deductible plans. But many still puzzle over how to pivot beyond what was long the core of their business: employer-based plans and holding down medical claims.

Insurer mergers, ACA exchanges' sustainability will be issues to watch in 2016

By Bob Herman  |  January 01, 2016

The health insurance industry will be watching and waiting to see if antitrust regulators approve several big insurance mergers, whether the Affordable Care Act's exchange market grows more sustainable, and whether states adopt new regulations governing provider network adequacy.

CMS admits bad dual-eligible math

CMS admits bad dual-eligible math

By Virgil Dickson  |  November 07, 2015

Health plans have complained for years that the CMS doesn't treat them fairly if they enroll large numbers of low-income people with complex medical needs. It looks as if they have been heard and may see the changes they want.

Advertisement
Modern Healthcare Daily

Award winning coverage of healthcare business and policy news.

The Modern Healthcare app includes a personalized home screen, strong search functionality and immediate downloads from the industry's leading healthcare media brand.