Reimbursement

Healthcare has a few things to do differently in the privacy and security arena -- one of them being: Start taking it seriously.

The first state to use Medicaid expansion funding for private exchange insurance has attracted well over half of all eligible beneficiaries, with a healthy mix in the risk pool.

Fears about public exchanges threatening established insurers may have been exaggerated, at least in the country's largest ACA marketplace.

Leaders from the Centers for Medicare & Medicaid Services think private insurers have been too slow to adopt payment reforms, but they would be best served by adopting value-based payment systems in tandem with CMS today.

Behavior change is critical to better outcomes, for patients, as well as providers and payers, as one health system with an insurance arm is finding.

The Obama administration is boasting that 8 million Americans, including a good number of young people, have enrolled in public exchange plans. The big question now is how will new members fit into the risk adjustment puzzle?

For the first time in almost four years, WellPoint will have a chief strategy officer, just as value-based reimbursement contracts are taking off.

The Healthcare Financial Management Association's new Price Transparency Task Force has released recommendations for how health plans and providers should inform patients on estimated prices, out-of-pocket costs, in-network status and value.

The nation's largest insurer lead off the first financial quarter under the full Affordable Care Act with a blend of optimism for growth and pragmatism for confronting headwinds like Medicare Advantage and specialty drug costs.

How the small employer market has a lot to gain by from private exchanges.