Reimbursement

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.

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

Nearly 4,000 healthcare professionals from across the U.S. convened in Nashville last week for America's Health Insurance Plans annual Institute, and the conference theme of "Making Healthcare Work" resonates.

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.