Healthcare Finance Staff

The executive who ran IT for Coca Cola is coming to WellPoint to oversee and optimize technology across health plans and other, evolving businesses, including one advanced project with high expectations.

With a new study of Independence Blue Cross members, evidence on the effectiveness of the patient-centered medical home is swinging back towards the positive.

Aetna has won a huge state contract in Texas, pulling away 415,000 lives from Blue Cross Blue Shield and with them several billion dollars in revenue.

What's driving the highest per capita healthcare spending in the country? A half-decade's worth of government-funded research points to some contentious and perhaps uncomfortable trends.

Physicians groups want to preserve a key antitrust exemption for self-referrals under Medicare that the Obama Administration hopes to end for a number of costly services.

Health insurers can expect an increasing number of consumer education challenges around prescription drug management, as utilization controls are more prevalent in public exchange plans than in typical group insurance.

With open enrollment coming to a close, public insurance exchanges are starting to look like they won't be the money-loser many have been girding for, at least for WellPoint's health plans.

Amid problems ranging from the minor to the extreme, at least half a dozen state exchanges are offering enrollment extensions of sorts, but only one is pushing federal limits and trying to extend open enrollment.

Grab a photograph. Any photo. Then take it to a photocopier, and copy it. 

It isn't news for anyone to suggest the most expensive hospitals may not be worth the money. But the recent hullabaloo over both narrow networks and hospital quality may be missing the forest for the trees.