Healthcare Finance Staff

The increasing prevalence of diabetes is, as it happens, coming with rising costs, especially for kids.

The government continues to seek complex payment methodologies, which often involve problematic incentives to improve the existing system. Therein lies the problem.

Florida Gov. Rick Scott's high-stakes visit to Washington to persuade the Obama administration to keep the federal government's $1 billion in annual funding for hospital care of the poor produced no breakthrough.

From a niche option for busy parents to a $16 billion ubiquitous sub-industry, retail healthcare clinics are offering more choices for a range of ailments. And there are a lot more opportunities to evolve the model.

As long as employer-sponsored benefits are here to stay, one technology company wants to be a modern kind of broker and HR service. It may or may not spell an early retirement wave for a generation of insurance producers.

With new data from the Medicare Pioneer ACOs, accountable care advocates can be cautiously optimistic, although the pessimistic can also find things to latch onto as well.

As it happens with insurance, the emergency department utilization issue is pretty simple.

Cigna is seeing benefits from its variety of accountable care in obstetrics and gynecology, and is on track to expand the model.

Payers need to be focused on the development networks that are not just narrow, but offer both consumer choice and a shared value reimbursement.

Amid record enrollment, some Medicare Advantage insurers are finding their payment-linked risk scoring practices to be the subject of scrutiny and lawsuits.