Healthcare Finance Staff
Preparing for the growth of the retail market, while trying to maintain profit margins under the medical loss ratio requirements, some insurers are chucking their old administration, claims and sales systems in favor of more web-based and automated software.
Twelve Iowa cities and towns are applying to be demonstration sites for the Blue Zones project, a micro-level experiment in trying to improve health and well-being by Healthways and with funding assistance from health insurer Wellmark.
Most employers that measure the performance of their employee wellness and value-based healthcare offerings show a return on investment (ROI) for these programs, with a significant number showing savings of $3 or more for every dollar spent, according to new research published by the International Foundation of Employee Benefit Plans (IFEBP).
Young people pay less for health coverage, older people pay more, under Maine's 'market-based' appr…
Even as many states gear up for tougher insurance regulations under the federal health law, Maine lawmakers last year bucked the trend, loosening rules they blamed for some of the highest premiums in the nation.
The Certification Commission for Health Information Technology (CCHIT) has announced that it has been named an authorized certification body (ONC-ACB) by the Office of the National Coordinator for Health Information Technology (ONC) to certify electronic health records for the federal Permanent Certification Program for Health Information Technology.
The value-based insurance company SeeChange Health Insurance was recently approved to sell plans in Colorado and is aiming to expand in six other states within the next few years.
SCAN Health Plan, a California HMO, is paying the state of California and the federal government $323 million in fines for Medicaid and Medicare overpayments, some going back to 1985.
By choosing Wisconsin Rep. Paul Ryan to be his running mate, presumptive GOP presidential nominee Mitt Romney put Medicare on the table as a major 2012 campaign issue.
The proliferation of mobile medical devices means providers, payers and even patients are collecting more data than ever before. But do they know what to do with it?
A notably picky species, American consumers have varying preferences for communicating with their health insurers and receiving their bills, a new study found, which means there's a lot of potential for consumer engagement.