News
Around the country, narrow provider networks are sparking consumer backlashes, prompting regulatory intervention and also raising questions about the value of current insurance designs.
Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending May 30, 2014.
As the Department of Veterans' Affairs scandal grows, scrutiny of wait times at civilian hospitals and clinics is bound to as well. Health systems might start reviewing their own access metrics.
Health insurers' most profitable book of business may be on the way out. If the projections of Fortune 500 companies are to be believed, the next half-decade will be sink-or-swim to the other end of evolving exchange markets.
The annual PayerView Report, from health IT company athenahealth, reveals the healthcare payer that has the best relationship with providers and the one that has the most problems.
Back in January, U.S. hospitals began to experience a serious shortage of intravenous saline solutions, caused mainly by a spike in demand during the beginning of the 2013 flu season. Fast forward to May, and hospitals are still struggling with the shortage.
Medicare Advantage insurers may soon find themselves facing new public scrutiny over potential spending and overpayment discrepancies.
New research suggests that accountable care organizations should make payments to patient-centered medical homes or take other steps to support them financially, since their goals are similarly transformative.
Medicare's accountable care organizations have gotten off to a mixed start, with hospital-led ACOs especially reporting financial challenges. By contrast, physician-led ACOs may have built-in advantages, and could be a new source of competition.
In the search for meaningful patient care improvements and sustainable financing, some independent physician groups are charting unique approaches that may offer models for payers and providers in the age of cost-containment and risk-sharing.