Healthcare Finance Staff
The Affordable Care Act is boosting short-term finances for insurers and providers alike. Long-term, though, traditional business models appear untenable and health organizations must evolve to remain sustainable.
Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending August 15, 2014.
A once-promised truth in pharmaceutical benefits management is unravelling, leaving payers exposed and researchers scratching their heads.
Long heralded by technologists, telemedicine is increasingly in demand from consumers. But as insurers warm to reimbursing the service, challenges loom in attaining healthy return on investments.
In the new health insurance economy, where individual consumers have more and more choices, a health plan's brand is one of its biggest asset. Sometimes it has to be changed.
As more companies migrate to self-funding, insurers are trying to meet demand with better outsourced management and new stop loss products. But a few startups with radical ideas are trying to beat them, offering new services to capitalize on frustration with the status quo.
Amid challenging trends in drug prices and formularies, independent pharmacy advocates are pushing for a new "any willing" provider mandate in Medicare Part D.
Of all the health organizations working as Medicaid managed care plans, a good number of provider-based plans are thriving, sometimes in places where traditional Medicaid HMOs are not.
Along with the changes and new costs coming with health reform, past problems are cropping up for some insurers, even setting regulatory records.
The employer wellness movement is gaining steam globally, but some trends are hitting a wall.