Healthcare Finance Staff

Two of Medicaid's top leaders are leaving the federal government, opening vacancies for chief regulatory positions amid a booming period of evolution in the program.

Donna Giron is frail. She has Crohn's disease and uses a wheelchair to get around because walking exhausts her. But she doesn't want to be in the nursing home where she has lived since May.

A mapping of the new individual market's variation in premium regulation show the evolution of a national market at once attempting to be standardized and amenable to state approaches.

I have to conclude that a recent campaign by a New York City urologist has to be skating mighty close to the ethical line.

The nation's largest pharmacy chain is tweaking its accountable care experiments, ending some relationships and starting others, as it embarks on another more potentially-disruptive venture.

The Kenedy, Texas-based Otto Kaiser Memorial Hospital recently said it has secured $43.8 million in bonds to fund a new hospital that will replace its aging facility.

You're sitting on too much money and have to spend it in the community, says one insurance commissioner, while another state regulator has different, minimum requirements.

For years, industry experts have been predicting a wholesale shift away from defined benefit health insurance plans to defined contribution. The reality, however, has been more complicated and nuanced.

In the year and years ahead for Medicaid, change will be driven as much by states as Washington, and managed care companies may have as many opportunities as challenges.

Though 2014 saw far fewer issues with Healthcare.gov, the federal government's health insurance exchange, officials are betting big that one of the industry's top firms can fix and improve the service for good.