Reimbursement

Once notorious for widespread and brazen Medicaid fraud schemes, New York is making history these days by recovering more ill-gotten Medicaid dollars than ever before.

One year after barely breaking even, new Medicaid contracts help propel Centene's revenue and earnings in 2013, leaving the St. Louis-based company optimistic about the year ahead.

Amid all of the chaos of the first open enrollment period for the first year of a reformed individual health insurance market, many insurance exchanges have been focused on just making the experience work from start to finish.

Healthcare costs for state and local governments are growing faster than the national average, threatening to crowd out other services and sending public officials looking for solutions.

Like many businesses faced with a transforming industry, hospital operators are working on ways to evolve into new models while bringing in revenue.

These are the 10 regions of the country with the highest premiums for people buying insurance on the health law's new marketplaces.

Bundled payment programs have been creating buzz across the healthcare spectrum, but one area where they are relatively unproven is in post-acute settings.

Shifting doctors to pay-for-value models will not be easy because their compensation is based on different methods that may not encourage incentive rewards.

The way physicians are compensated now -- through a variety of methods -- may not align with the way incentives are structured in pay-for-value models.

When the Harvard Business Review publishes an essay called "The Cure for the Common Corporate Wellness Program," you know the backlash is real.