Healthcare Finance Staff

Medical homes are a simple, compelling idea: Give primary-care doctors resources to reduce preventable medical crises, to reduce hospital visits, improve lives and save money. But it's not so easy in practice.

Despite some membership losses, the country's fourth largest Blue Cross insurer is boasting fairly strong customer retention as a sign of viability for its integrated network strategy.

An ambitious primary care company co-owned by Philadelphia's dominant insurer is growing, recruiting new provider partners and getting scale for more patients.

Social security numbers, income info at risk for more than 80 million members.

The nation's largest Blue Cross Blue Shield insurer has to find its way out of what may be the largest healthcare data breach ever, casting a dark cloud on the outlook for a prosperous, transformative year.

Government budget forecasters are predicting some potentially disruptive consequences from the Affordable Care Act's pending Cadillac Tax.

So what can Massachusetts do to address their risk adjustment woes? They are taking a step in the right direction by recognizing that data quality is at the core of any corrective action.

With the surging costs of specialty drugs, what was once unthinkable in American healthcare is starting to look like a viable idea that the President is pushing.

A regional Blue Cross insurer in the southern Midwest is turning to a long-time marketing executive to guide it into the next generation of health insurance.

New Jersey's largest insurer is expanding its medical home program in an effort to boost primary care access and member satisfaction, as new competitive threats loom from non-traditional insurers.