Reimbursement

People in much of Minnesota, northwestern Pennsylvania and Tucson, Ariz., are getting the best bargains from the health care law's new insurance marketplaces: premiums half the price or less than what insurers in the country's most expensive places are charging.

Once an organization decides to transition to the accountable care model, there is an immediate need to begin long-term financial planning. While your organization is working to drive down costs, it must also look for ways to maintain profitability.

As the industry continues to digest the Affordable Care Act and the implications of market reform, health plans need to understand how to weave in more consumer-focused entrepreneurialism, innovation and diversification into the core business.

The Obama Administration's latest delays and policy tweaks have credit rating analysts getting more worried about insurers, even as large companies like Aetna and Cigna insist that insurance exchanges are only minor parts of their business strategies.

Most uninsured Latinos are eligible for tax credits or Medicaid, but insurers may need to rethink their outreach approaches, and absent federal immigration reform, states may have to help fill gaps for those who are both uninsured and undocumented.

Between 20 years researching leukemia at Harvard and four years directing Merck's oncology program, Gary Gilliland, MD, has seen a lot of ups and even more downs. Now, as the head of precision medicine at Penn, he's fairly optimistic about emerging therapies like immunologics, but just as concerned about how to pay for them.

You almost feel sorry for Target. The breach of up to 110 million records -- theoretically 34 percent of the U.S. population -- is the stuff of unfortunate legend.

A newly released update to the landmark 2008 Nachimson study says two-thirds of practices would fall in the upper range of implementation cost projections.

For the second time in two months, Congress has turned to an extension of Medicare sequestration as a funding mechanism -- a troubling new trend for Medicare providers.

Young adults were a rising portion of those who signed up for coverage in January, accounting for 27 percent of enrollees compared to 24 percent in the previous three months, in the latest report on insurance exchange enrollment.