Reimbursement

Lancaster General Health Community Care Collaborative will be accessible by the payer's Medicare Advantage members in the Pennsylvania region.

If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed.

Health system-run plans grab more members, affect credit ratings, S&P says.

Talk about sticker shock: Some U.S. hospitals charge patients more than 10 times the rates paid by Medicare.

With near-universal health insurance and an impetus to make healthcare affordable, health systems starting their own insurance plans believe this time is different.

Some promising breakthrough medicines on the market and horizon are going to come with a steep price tag that public payers especially will have to meet head on.

If Elizabeth Holmes has her way, a reinvented blood test will liberate Americans paying for lab tests and help cultivate a new kind of preventative healthcare.

Leaders of two warring healthcare healthcare institutions argue that a near-duopoly will benefit consumers and patients. The trouble is that a 60-year-old piece of the tax code leaves many without real choice.

The states that set up their own insurance marketplaces have nothing to lose in King v. Burwell, the big Supreme Court case that will be decided by the end of June. But that doesn't mean those states are breathing easy.

Pennsylvania is the first state to have a backup plan to prevent its residents from losing their health insurance subsidies should the U.S. Supreme Court strike down the federal exchange provision in the Affordable Care Act.