Healthcare Finance Staff

The era of consumer-driven healthcare puts the consumer in the driver's seat. However, the added responsibility can be daunting when you aren't sure where to go. They need guardrails.

California's second largest nonprofit insurer is using a strategic acquisition to enter a growing, but challenging sector of government-funded health plans.

Member self-service portals have become a must-have for healthcare payers. Members expect and demand them. Yet putting up a portal and just expecting members to use it is a fast track to failure and lost business.

Record low healthcare inflation does not seem to be trickling down to average middle income consumers with work-based insurance. If anything, more Americans may be questioning the value of their employer health plans amid wage stagnation.

No deadline is ever really certain. The federal government is giving health insurers more time to submit data for the risk-sharing programs that many market reforms are depending on.

The world of Medicare post-acute care is set to change, as a series of reforms ultimately rewrite payments in a sector that accounts for more than 20 percent of all Medicare spending. 

In a way that is deeply changing federal contracting, growth opportunities from the government have increasingly come not from war but from healing.

While some evidence suggests medical cost ratio mandates are helping make healthcare more affordable, there are still some long-term doubts. 

Amid an intense debate about the cost and value of drugs, a big payer and a big pharma company are promising to comb through their collective evidence and deliver new knowledge that may improve patient outcomes.

A population healthcare model in Mississippi that use telehealth technology to help curb the worst of diabetes has achieved early success and caught the attention of the state government.