News

A once-promised truth in pharmaceutical benefits management is unravelling, leaving payers exposed and researchers scratching their heads.

Low-income consumers struggling to pay their premiums may soon be able to get help from their local hospital, but the hospitals' efforts have set up a conflict with insurers.

The Affordable Care Act is boosting insurers and providers alike, but the long-term cost pressure means both have to adapt to new business models.

When large hospitals and health systems buy or affiliate with smaller facilities, the deals can benefit both parties, but these deals may not work well if costs are out of control.

Long heralded by technologists, telemedicine is increasingly in demand from consumers. But as insurers warm to reimbursing the service, challenges loom in attaining healthy return on investments.

In the new health insurance economy, where individual consumers have more and more choices, a health plan's brand is one of its biggest asset. Sometimes it has to be changed.

The healthcare industry may be going through a period of uncertainty and tremendous transformation, but some CEOs of healthcare companies are expressing confidence in the future.

With the job market showing improvement, it might be time to re-evaluate if you are doing your utmost at keeping your best employees happy so they don't go elsewhere.

As more companies migrate to self-funding, insurers are trying to meet demand with better outsourced management and new stop loss products. But a few startups with radical ideas are trying to beat them, offering new services to capitalize on frustration with the status quo.

Amid challenging trends in drug prices and formularies, independent pharmacy advocates are pushing for a new "any willing" provider mandate in Medicare Part D.