News

Like healthcare facilities across the country, Louisiana's hospitals must confront formidable financial challenges as care delivery models evolve and reimbursement mechanisms change.

Hospital systems buying up medical practices cite integration efforts and payment reform as a justification. Now, though, payers might rightly be concerned about where the trend can lead at local levels.

Amid a mulligan of sorts for a large state insurance exchange, an insurer with a new mission is using the old tactic of tapping brokers in a bid to vie in the big leagues.

The federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices, although the company in question appears unfazed as it enters new forays, including some with insurers.

Two major healthcare organizations in eastern Massachusetts are joining to build a new health system, creating what they term a "unique model" intended to improve care coordination and enhance the affordability of care.

The hospital merger wave may have slowed down a bit, but for health systems facing financial challenges and looking to evolve clinically, it's still an option for consideration.

Flexing its anti-kickback muscles, the federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices.

Will the pay-ins and payouts in the 3Rs be enough to leave insurers, and the programs, whole? Early data is offering a window into the possible dynamics. 

An established but growing player in the health insurance technology space is looking to get big and serious.

Commercial insurers inaccurately process about 20 percent of claims filed by medical practices. It's an industry standard that has weathered the test of time -- though not in a good way.