News

Americans living in rural areas will be a key target as insurers, states and nonprofit groups strategize how to enroll more people in exchange plans this fall.

The currents of health reform and consumerization are getting more treacherous for incumbent hospital businesses, but payers and retailers, especially, have waves to ride.

Aetna's ACO portfolio keeps growing, as the insurer tries to capitalize on Medicare Advantage rate pressure and step in where some competitors face upheaval.

The administrative costs of U.S. hospitals far outstrip those of international hospitals and current pay-for-performance models are likely to boost those costs even higher.

The human resources department may not be the first department in a health system that comes to mind in the transition to value-based care, but it is increasingly being seen as a source for potential innovation.

Many insurers setting premiums for the upcoming exchange season seem to be banking on consumer price sensitivity. Some are also poised to draw the most cost-conscious enrollees away from competitors.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending September 5, 2014.

Accountable care organizations are captivating because they contain elements of care delivery that most experts agree should improve healthcare: financial risk sharing, electronic health records, quality benchmarks, patient engagement and care coordination. But the question remains: can ACOs pull it off?

As summer wound down, the country's employment situation remained mostly unchanged, with the most job gains occurring in healthcare and professional and business services.

Highmark, an insurer with its own health system, is challenging a growing and controversial billing practice that also happens to be a central part of some health system integration strategies.