Healthcare Finance Staff

Taking a cue from workplace wellness programs, more than a dozen states are offering Medicaid beneficiaries incentive to make healthier decisions. The stakes are huge.

The country's largest insurer is expanding coverage for virtual visits, a clear sign of legitimacy for a growing part of consumer-driven medicine.

Unlike many local and state governments with steadily rising healthcare costs and a looming Cadillac tax, Houston is saving a fair amount with an accountable care network and wellness program.

If the time for precision medicine is now, could the massive databases of health and drug plan claims systems be a starting point?

Though it's been a booming first quarter for the major for-profit health insurers, the smaller two of the big five are not booming quite as much.

Any provider who submits claims electronically can participate in acknowledgement testing.

Medicaid managed care specialist Centene nearly doubled its quarterly profit, wrapping its arms around more and more members while adding fuel to rumor fires about the next wave of takeovers.

Aetna is again showing that the new insurance market, along with the business of health reform, can be profitable.

For sale: Historic health insurance company with one million customers, $2 billion in revenue, some recent losses and mixed customer satisfaction, plus a modestly profitable voluntary benefits unit.

For both insurers seeking value and health systems pursuing all things integration, there is a huge conundrum waiting for an intervention: the hospital facility fee.