Reimbursement
Large national insurers have gotten lots of attention for investing in new technology and acquiring startups, but as it happens the Blues are making some of the biggest waves in the digital health space.
A new Republican majority focused on curbing regulation may give the healthcare industry the opposite of what most are looking for: uncertainty. Or they could turn to a fairly simple option to help the stakeholders long resistant to ICD-10.
The California-based nonprofit health system and HMO Kaiser Permanente is hustling and bustling this year.
DaVita HealthCare Partners, a provider of kidney dialysis services, is making a move into primary care, and has announced a joint venture with a hospital company in Colorado and Kansas. Some say the firm might be trying to create a model for Medicare to follow.
Public exchange shoppers will have more choices this open enrollment period, and in some places, they're being courted with affordability, as insurers try to draw both first-time buyers and membership from rivals.
Defying expectations, the court announced last week it has agreed to hear a case that challenges the heart of the Affordable Care Act: subsidies to help people pay their insurance premiums.
Pre-reform underwriting approaches for speciality medications like HIV/AIDS drugs are not going to fly in the new health insurance market, as regulators and patient advocates intervene to challenge a range of practices.
Care coordination networks are a mainstay of the Affordable Care Act's cost reduction goals. Accountable care organizations are the most widely recognized of these networks, yet by no means is design of these business arrangements simple or straightforward.
What was once thought to be a Hail Mary attempt by Affordable Care Act opponents is now starting to look like a clear pass with a chance of being caught.
Despite backlashes against health screenings in corporate wellness programs, many Americans are open to a trade-off if it saves them money, though not necessarily lifestyle changes.