Reimbursement

In a deal showing just how massive and pivotal the quest is for digital modernization, Anthem is investing half a billion in a flexible, scalable cloud.

Although we've heard "no more delays" from CMS before about the deadline for ICD-10 conversion only to see it postponed again, healthcare decision-makers should treat Oct. 1, 2015, as a set-in-stone launch date, industry analysts say.

Until corporate wellness programs demonstrate ROI, many companies have to consider whether there are other ways to improve the health of their employees and the country.

Will tax-filing season be the next reason for consumers to complain about the new health law? Come tax time, will the Obama administration really enforce the individual health insurance mandate?

The nation's third largest insurer is the latest to find a cheaper way to bring a curative therapy to members with Hepatitis C.

Republican asked the state Legislature to continue the private option for Medicaid through the end of 2016 to keep insurance coverage for more than 200,000 low-income residents.

Notwithstanding resistance in California and some long-term uncertainty, the nation's largest insurer is pretty stoked about 2015, public exchanges and Medicaid.

In a crowded market dominated by the Blues, a hospital-owned health plan is trying grow in tandem with Medicare and Medicaid enrollment, seeing potential in suburban Baby Boomers.

At a time when prevention is being hailed as a key to health reform, indeed required as an essential health benefit, new evidence is questioning assumptions about the benefits and costs.

Program costs more than $140 billion, leaders say, but temporary 'doc fix' keeps physicians from serious reimbursement cuts.