Reimbursement
Cigna is seeing benefits from its variety of accountable care in obstetrics and gynecology, and is on track to expand the model.
Payers need to be focused on the development networks that are not just narrow, but offer both consumer choice and a shared value reimbursement.
Amid record enrollment, some Medicare Advantage insurers are finding their payment-linked risk scoring practices to be the subject of scrutiny and lawsuits.
Report claims that between 2015 and 2024, uninsured people in states not expanding Medicaid would rack up to $266 billion in uncompensated care.
Taking a cue from workplace wellness programs, more than a dozen states are offering Medicaid beneficiaries incentive to make healthier decisions. The stakes are huge.
The country's largest insurer is expanding coverage for virtual visits, a clear sign of legitimacy for a growing part of consumer-driven medicine.
Unlike many local and state governments with steadily rising healthcare costs and a looming Cadillac tax, Houston is saving a fair amount with an accountable care network and wellness program.
If the time for precision medicine is now, could the massive databases of health and drug plan claims systems be a starting point?
Though it's been a booming first quarter for the major for-profit health insurers, the smaller two of the big five are not booming quite as much.
Medicaid managed care specialist Centene nearly doubled its quarterly profit, wrapping its arms around more and more members while adding fuel to rumor fires about the next wave of takeovers.