Reimbursement

CVS Health's tree of drug management and retail health is growing with grafts from a different, struggling retailer. It's a chance to expand the reach of CVS's primary care and low-cost generic medicines, among other things.

New report by Standard & Poor's claims a more diverse payer mix brought about by the Affordable Care Act and a surge in admissions as more Americans have health insurance lifted the sector.

As health insurance membership grows, so too are profit margins for some of the largest managed care companies, although of course that's not the case for every health plan.

Once a stopgap for people between jobs, short-term policies appear to be enjoying a resurgence, despite hope that consumer interest would decline after the ACA.

Clinical analytics, benchmarks and patient experience data now just as important as financial metrics, insiders say.

Concerns over double digit increases abound, but there are also signs that individual premiums on average and in a lot of places may be modest.

The Affordable Care Act euthanized old school underwriting and introduced subsidies and risk sharing, too much and not enough for an insurer that succeeded in the old market.

It will be up to state officials and Congress to help consumers who can’t afford health insurance if the Supreme Court strikes down health law subsidies for millions of Americans, Health and Human Services Secretary Sylvia Burwell said Wednesday.

AHIP's new CEO will need to continue the legacy of defending an industry, as well as help shape policies and market approaches for the still uncertain era of value.

The pernicious effects of America's sedentary culture in many ways mirror the country's expensive, convoluted healthcare system. Powerful healthcare institutions, though, can help change the course on the local level, advocates argue.