News

Recent purchase of MedExpress gives major boost to insurer's business for walk-in, low-acuity treatments and well as health and wellness services.

The group's first priority is advancing the Medicare doctor payment legislation pending in the Senate because it includes a provision requiring Medicare to release for broader use a substantial amount of data on claims at the provider level.

The bill would expand coverage using federal subsidies, but would also require some enrollees to pay premiums and participate in job programs.

As consumers increasingly are being asked to pay a larger share of their health bills, a coalition of insurers, pharmaceutical companies and provider and consumer advocacy groups launched a new push for greater transparency about the actual costs of services.

CEO Ram Raju wants to grow the health system's patient base to 2 million people and double the enrollment of its Metroplus health plan.

For outpatients who receive care on both Sept. 30 and Oct. 1, the challenge will billing under both ICD-9 and ICD-10 diagnostic coding vocabularies.

The Blue Cross Blue Shield brand may bring the idea of a consistent kind of health insurance, as the winner of one "health plan brand of the year" poll. But in Medicare Advantage satisfaction ratings, that is not the case.

Map and table shows the state-level incentive totals for meaningful use incentives from January 2011 to February 2015.

Just as rival Humana exits the market, UnitedHealth Group is growing its portfolio of retail health clinics, in another step towards insurer-owned healthcare delivery.

We asked several experts in the field to highlight key issues affecting a hospital's revenue cycle management and offer some advice to providers on how to improve their operations.