Healthcare Finance Staff
Molina Healthcare is acquiring a financially beleaguered Medicaid plan from a nonprofit insurer trying to preserve another managed care business.
Four months until the ICD-10 deadline, and the American Medical Association is peddling the logic of waiting for the next iteration of the disease coding system, or at least delaying a bit more.
Health insurers in one large West Coast state now have to disclose claims data that for decades was proprietary, in a reluctant but heralded move towards transparency.
Health insurers need to change their silver-tier health plans to use more modest and predictable cost-sharing, instead of four-figure deductibles, according to patient advocates.
In the first update to federal MCO rules in more than a decade, the government is set to push a range of tweaks, reforms and requirements that could set a new baseline for a bustling public payer segment.
The federal government clarified that insurers can't charge people for anesthesia administered during a preventive colonoscopy to screen for colorectal cancer, although there are unresolved questions.
What's the best way to get members to stop smoking? A financial nudge and a pinch show some promise, for a range of health and wellness choices.
Aetna is plotting an acquisition seeking "inorganic growth" that could make it a rival for the largest insurer in the country, if the hype of one boutique Wall Street analyst is to be believed.
Never before has the need been stronger to ensure product and plan configuration is leveraged across the enterprise, from upstream activities like product strategy and sales to downstream processes like claims management.
On the West Coast, the nation's largest municipal-operated health plan is trying to mesh its compensation structure with its nonprofit mission.