Healthcare Finance Staff

Internal controls are lacking when it come to setting an individual's eligibility for tax credits and cost sharing reductions for health plans bought through Healthcare.gov, according to a new report by the Office of the Inspector General.

Two major deals that would result in top commercial insurance companies merging into their competitors has roiled the leadership of the American Hospital Association.

The last and perhaps most controversial piece of health reform's universal coverage has many miles to go in terms of financial sustainability. But there are signs of progress.

Healthtrust will track supply chain costs and the degree to which Tenet shares supply chain services across the healthcare provider's network of 81 acute care and 19 surgical hospitals.

"Are you pregnant?" It's a topic employers have avoided since the Pregnancy Discrimination Act of 1978. But advocates fear these long-standing protections could be undermined by some workplace wellness programs.

Another insurer is embracing the idea of paying for direct primary care, sponsoring new clinics and a new kind of medical practice.

People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte.

The Centers for Medicare and Medicaid Services and the State of Rhode Island are contracting with a Medicare-Medicaid plan to provide integrated benefits to approximately 30,000 eligible enrollees.

When Michael Kamins opened the letter from his health plan he was enraged by what he encountered, a part of critics see as medical necessity's "last hurrah."

Billions of dollars have been spent on 90 deals over the past decade. See which five companies are responsible.