Anthony Brino

The currents of health reform and consumerization are getting more treacherous for incumbent hospital businesses, according to a new report by Standard and Poor’s Rating Services.

The human resources department may not be the first department in a health system that comes to mind in the transition to value-based care, but it is increasingly being seen as a source for potential innovation.

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Amid a massive backlog of hospital inpatient claims appeals at the Office of Medicare Hearings and Appeals, the Centers for Medicare & Medicaid Services is giving providers the chance to settle up and get paid - at least in large part.

One decade after WellPoint Health Networks and Anthem merged into the nation's largest for-profit, publicly-traded Blue Cross company, the insurer is changing its corporate name to Anthem, Inc.

The Affordable Care Act is boosting insurers and providers alike, but the long-term cost pressure means both have to adapt to new business models.

Across the country, Blue Cross and Blue Shield companies are flooding the new insurance marketplaces with a range of plans, trying to protect membership footholds or expand them – but not in Iowa.

Of all the health organizations working as Medicaid managed care plans, some provider-based plans are seeing financial gains, sometimes in places where traditional Medicaid HMOs are not.

After more than a year of dispute over continuing a contract, insurer and new health system-owner Highmark and the University of Pittsburgh Medical Center have reached a comprehensive transition agreement.

Over the last two decades, patients with chronic and debilitating conditions like arthritis, multiple sclerosis, cancer and immunodeficiency have seen improved treatment options thanks to specialty medications.