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Texas fines Humana for out-of-network anesthesiology bills

Texas fines Humana for out-of-network anesthesiology bills

By Harris Meyer  |  October 11, 2018

Humana agreed to pay Texas a $700,000 fine for failing to maintain an adequate number of in-network anesthesiologists at its contracted hospitals in four counties, which led to patients receiving surprise out-of-network bills.

Cigna-Express Scripts deal reflects industry in transition

Cigna-Express Scripts deal reflects industry in transition

By Shelby Livingston  |  September 22, 2018

The need to tame healthcare spending and stay on top of potential competition has led health insurers to pair up with nontraditional partners. Here's how the five dominant national insurers are reshaping themselves and the industry.

Value-based care is the buzzword at HFMA's annual conference

By Tara Bannow  |  June 25, 2018

Modern Healthcare reporter Tara Bannow is attending the Healthcare Financial Management Association's annual conference in Las Vegas this week, an annual gathering of system financial leaders and vendors who provide products for revenue cycle management, data analytics and other services.

Ups and downs of insurer-physician consolidation

Ups and downs of insurer-physician consolidation

By Shelby Livingston  |  June 02, 2018

Health insurers have been buying physician practices for decades. The Affordable Care Act was expected to prompt a surge of such purchases. While that never fully materialized, some pretty significant deals emerged.

Guest Commentary: Making progress in shift to value-based care despite barriers

Guest Commentary: Making progress in shift to value-based care despite barriers

By Drs. Michael Munger and Roy Beveridge  |  April 07, 2018

With healthcare costs skyrocketing and the health of Americans suffering amid a fragmented system, there's a critical need to shift to a patient-centered healthcare system focused on outcomes and the value patients receive for their healthcare dollar.

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