Healthcare Finance Staff

Clearly healthcare is the most interesting and dynamic sector in the U.S. today. We are witness to an unprecedented transformation as healthcare stakeholders embrace new delivery entities and new reimbursement models, shift attention to building relationships with members and explore new markets. There will be winners and losers in this game, and everyone is placing their bets.

Some state health insurance markets are in for another exodus of pre-health reform plans, as regulators pursue stability on and off the public exchanges.

Despite a proliferation of digital health companies, payers, providers and patients have many unmet needs. The Pacific Northwest's oldest insurer is trying to help find new ideas, outside the industry.

With two-thirds of Massachusetts healthcare still paid via fee-for-service, the state's largest insurer wants to ply its HMO-grown variety of accountable care in PPOs. It's sure to challenge providers.

Too many consumers have learned the hard way that their credit rating can be tarnished by medical bills they may not owe or when disputes delay insurer payment.

Exchange market leaders in 2014 may have had a large portion of their membership renew coverage, but a material portion may have higher monthly costs in 2015, which could change persistency rates.

The company that defined health insurance e-commerce is struggling in the new market, despite an attempt to sell subsidized health plans, and is now looking to Medicare.

The Department of Health and Human Services is being urged to add another qualifying event to the list of ways people can buy an exchange plan in a "special enrollment period."

For many Americans, $179 for $2,000 worth of cardiovascular disease screenings might be better spent on a good pair of shoes.

Health insurers and American consumers might be spending more than ever for prescription drugs, but there are also more choices and more information to find value in a sea of volume.