Healthcare Finance Staff
Media attention about fines for business practices is one of the last things an insurer wants during open enrollment, but one state Blues is now faced with the task of damage control.
Payers are following the mobile craze with apps to attract and ideally better serve customers. That can be a fraught pursuit, opening insurers to scrutiny and raising questions about the very experience they're trying to offer.
Improving healthcare for the nation's Medicare-Medicaid dual eligible population seems to be just as complex as the beneficiaries' health needs, so state leaders are seeking help and more flexibility from the feds.
Competition, innovation and regulation are spontaneously combusting in one unlikely state, as a company trying to upend HR and group insurance sales comes up against the law.
Two health plans are being barred from further enrollment and another is being warned, as state regulators act on promises to ensure access and quality standards for beneficiaries.
The long-standing problem of hospital-acquired infections, adverse events and medication errors is improving, new data suggest, although 1 in 25 hospital stays still comes with an infection.
As some states try to overhaul their programs for Medicare-Medicaid eligible beneficiaries, Indiana is turning to managed care plans to improve services.
After a year's worth of negotiations, a large health system is testing the limits of its clout and leaving a Blue Cross Blue Shield network, amid allegations of unfair reimbursement.
A surge in health insurer competition appears to be helping restrain premium increases in hundreds of counties next year, with prices dropping in many places where newcomers are offering the least expensive plans.
The case for collaboration in accountable care networks is getting a boost in the Puget Sound region, where Humana had found a partner for a new Medicare Advantage network.