News
As part of a contract extension with Tenet Healthcare, Cigna has established a first of its kind quality-based reimbursement agreement.
The corporate saga of a Medicaid managed care fraud case is coming to a close as three former executives head to federal prison, offering a cautionary tale for public benefits contracting.
Hospitals confront extraordinary challenges in the aftermath of a natural disaster. These risks seem to have enlarged in recent years, and can shut down hospital operations, temporarily or entirely. Consequently, many hospitals have upgraded their business continuity planning.
Just in time for plan application and premium rating season, federal regulators have finalized market policies for the ACA's second open enrollment period, while continuing the tradition of leaving a few important issues to-be-determined.
If global spending becomes the norm in Medicaid, health systems, medical practices, home health and community organizations will face an even greater impetus to collaborate. In the Empire State, some are already starting the journey.
Last week, the Centers for Medicare & Medicaid Services published a final rule that reforms federal health policy regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers. Here are some highlights.
Almost a third of all hospitalizations now treat diabetic patients, and cost more than average. Diabetic admissions may be a problem that regulators, ACOs and providers need to solve for the long-term.
Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending May 16, 2014.
According to a study published this week in Health Affairs, the Great Recession did not have a permanent negative financial impact on vulnerable hospitals, such as safety net facilities, or those considered financially weak prior to the recession. However, this doesn't mean these same hospitals will fare so well in coming years.
A media specialist who shares roots with Affordable Care Act foes is taking the communications helm of AHIP, tasked with defending an industry in transition and often under scrutiny for narrow networks and premium affordability.