Reimbursement
More insurers are finding benefits in marketing new health plans with regional providers, as a way to leverage prominent brands, make networks more accessible and also create potential competitive threats.
In the Affordable Care Act's second enrollment period, insurers and exchange will again try to lure the young adult demographic, a challenge that will test risk adjustment policies and the best minds in marketing.
With new essential health benefit rules, some insurers are starting to take a more proactive approach to mental and behavioral health.
Taking stock of its diversification strategy, the nation's largest health insurer is creating a new enterprise oversight unit, moving around some key leaders and saying goodbye to others, all before a big enrollment push.
Does your organization have a planned response to virtual card claims payments by patients, and do you know your rights under the Affordable Care Act to a less expensive form of claims payment? It is important for providers to understand their rights under HIPAA and the ACA and make an educated decision.
Large national insurers have gotten lots of attention for investing in new technology and acquiring startups, but as it happens the Blues are making some of the biggest waves in the digital health space.
A new Republican majority focused on curbing regulation may give the healthcare industry the opposite of what most are looking for: uncertainty. Or they could turn to a fairly simple option to help the stakeholders long resistant to ICD-10.
The California-based nonprofit health system and HMO Kaiser Permanente is hustling and bustling this year.
DaVita HealthCare Partners, a provider of kidney dialysis services, is making a move into primary care, and has announced a joint venture with a hospital company in Colorado and Kansas. Some say the firm might be trying to create a model for Medicare to follow.
Public exchange shoppers will have more choices this open enrollment period, and in some places, they're being courted with affordability, as insurers try to draw both first-time buyers and membership from rivals.