On Sept. 1, Karen Ignagni started a new chapter in her career far from Washington, D.C., where she spent two decades as the head of the insurance industry's lobbying group, AHIP. Now she is the caretaker of EmblemHealth, which insures 3.2 million people.
Ready or not, the U.S. healthcare industry is poised to flip the switch from the ICD-9 to the ICD-10 diagnostic and procedural coding system on Oct. 1, significantly changing how billions of dollars in medical claims are calculated and billed every day.
Politicians and healthcare leaders don't agree on much about the root causes and problems with consolidation in the healthcare sector. More congressional hearings are likely to inflame the debate.
The selection of U.S. Supreme Court Chief Justice John Roberts and President Barack Obama for the top two spots in the 14th annual Modern Healthcare 100 Most Influential People in Healthcare reflects the continuing centrality in healthcare of the ACA and the ongoing political battle over its future.
A new rule that will shed light on the rising wealth gap between America's CEOs and average workers could put some healthcare companies with large numbers of low-wage employees in the public's crosshairs.
Former CMS Administrator Marilyn Tavenner has resigned from LifePoint Health's board of directors following her appointment to head the insurance industry's powerful lobbying group.
The decision last week to hire Marilyn Tavenner as CEO of America's Health Insurance Plans signals that the powerful lobbying group has accepted the Affordable Care Act as the new business environment and that it wants a CMS insider to help during the next phase of market development.
Marilyn Tavenner, who stepped down as CMS administrator six months ago, will now lead the country's dominant health insurance lobbying group, working on behalf of the companies that are regulated by the CMS and are devoting more of their business to Medicare and Medicaid.
America's Health Insurance Plans lost its star leader a few weeks ago, and now a heavyweight member is heading out, too.
The titans of the health insurance industry are locked in a dance of buying and selling. Hospitals, physicians, employers and consumers could experience financial repercussions if any big deals are concluded.
Hospitals contend that their high and extremely variable chargemaster prices shown in new CMS data are misleading because very few patients are asked to pay them. But the rates are a growing concern as more patients face unexpected out-of-network bills.
Health insurance leaders will meet this week in Nashville at a time when its members are facing major challenges and changes.