Reimbursement

The prospect of a near-duopoly healthcare market is becoming a reality, and only time will tell if two giant closed networks are good for both patients and business.

A regional patient-centered medical home demonstration is appears to be prime for expansion of Medicare members.

In an effort to survive and thrive in the transition to value-based payment models, New Jersey's Hackensack University Medical Center launched an experiment, which, so far, looks promising.

The Obama Administration wants to make it as easy as possible for the 8 million Americans who bought insurance via an exchange last year to keep their plans. To that end, the auto-enrollment policy Health and Human Services unwrapped aims to reduce complexity for insurers, but it also brings new issues.

Two large players in a small market are going to spend the next three years trying to collaborate with emerging incentives, as shared risk becomes the new normal.

The individual insurance market is now too big to ignore, drawing new crowds on and off state exchanges.

Ambulatory surgery centers have new evidence to back up arguments for its relative cost-effectiveness.

As health plans start serving newly-insured populations and try to improve outcomes for long-time patients, all while taking on more financial risk, the case for aggressively targeting diabetes and obesity has never been greater.

The ambulatory surgery center movement has some evidence to back up arguments for its relative cost-effectiveness, although variation can still be vexing for health plans and patients.

The nation's diabetes and obesity crises have started taking their toll on healthcare spending, and some insurers are stepping in before new generations develop these problems in the long-term.