Healthcare Finance Staff
Medicaid-focused managed care company Centene is adding to its portfolio a data-drive health engagement platform, a sign of the increasing interest in wellness for both commercial and publicly-insured populations.
Amid a fractious public dispute with its chief rival, Highmark and its health system are making a community investment that, though unlikely to turn a profit, may reap returns in loyalty and reputation.
Competition for treating America's hepatitis C population is intensifying among pharmaceutical companies and benefits management firms, suggesting a thaw in the $1,000 per-pill price of last year's blockbuster.
Minneapolis-based health system Allina Health intends to work with Salt Lake City-based data warehousing company Health Catalyst on a 10-year initiative to build a new model for improving outcomes system-wide.
The Centers for Medicare and Medicare Services has extended the contract with four private companies it previously hired to track down, remedy and often recover improper Medicare payments.
The regulator of the nation's largest state market is taking a proactive, interventionist stance on the still fractious issue of network adequacy.
In the fourth quarter of the Obama Administration, the nation's chief trade regulators are promising a healthy dose of scrutiny for the continuing waves of healthcare provider mergers and acquisitions.
For 25 years I've been saying that I wished a little state like Vermont would implement a single-payer Canadian-style health insurance system -- "Medicare For All." I have always thought that this debate will never be settled until a state gives it a shot and everybody witnesses the result.
One of the Midwest's largest Blues is winning in the new insurance market under the Affordable Care Act, without yet selling a public exchange plan.
Fee-for-service billing still dictates how these platforms work, HIMSS Analytics VP says.