Reimbursement

Why the costs for an increasingly common surgery should vary so much across and within regions is the key question Blue Cross companies are trying to answer, as new research find that pricing swings are still the norm.

Judges to determine whether hospitals, doctors can sue over inequality in reimbursement rates.

The reasons for aligning with a hospital are changing, which makes integration even more complicated.

What do Amazon founder Jeff Bezos and the Regence Blues have in common? A new subscription-based clinic network with a simple recipe for the Triple Aim and competition for the establishment.

Creating "members for life" is the ultimate goal of any payer's customer loyalty effort. Competitive rates are one strategy to enhance loyalty, but in today's landscape of consumers who expect more engaging and cost-effective care, the proof is often in better health.

The nation's largest insurer could be shut out from the largest state insurance exchange, as regulators pursuing an active purchaser strategy try to nurture a loyal group of underwriters for the long-term.

A network dispute could leave a quarter million Californians without access to a large, well respected health system, a story playing out across the country.

The Medicare Payment Advisory Commission has recommended a 3.5 percent increase in the rates paid for inpatient and outpatient hospital procedures in 2016. The group also wants to level the field between what is paid to hospitals and physician offices.

Under a mantra of "consumer centricity," the nation's largest Blue Cross company is taking a long-view on America's changing demographics and insurance access points.

Another co-op insurer is showing signs of struggle, if not financial collapse, as a state regulator steps in.