News

The Centers for Medicare & Medicaid Services is easing back on some of the reductions to Medicare Advantage, although the negative impact could still be as much 3 percent for some insurers and many changes loom beyond 2015.

Catholic Health Initiatives' long-term transformation strategy has a bit of the expected -- IT investment -- and the unexpected -- the creation of an insurance business.

Traditional continuing care retirement communities are looking for business opportunities to expand into home care. One option is a Continuing Care at Home program.

Competition from provider-owned health plans is increasing, with one of the country's largest national health systems scooping up an HMO in the South that could be a platform to enter other markets.

With about seven percent of all public and private health insurance claims paid incorrectly, insurers have a ways to go, beyond traditional models, if the healthcare spending crisis is to be reined in.

When MedPAC recommended to Congress in March that readmission penalties similar to those imposed on hospitals be applied to home healthcare organizations, the home health industry didn’t balk because it has already been working toward reducing readmissions.

Patients don't fill first-time prescriptions nearly one-third of the time, which makes "nonadherence" an important factor working against proper disease management.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending April 4, 2014.

Spring has brought good news to the nation's jobs market -- and a return of jobs growth in the healthcare sector.

Health plans must calculate what they will charge for 2015 exchange plan premiums despite the lack of detailed data from the just-ended enrollment window. Rate filing deadlines are fast approaching: May for some states and June for those using the HealthCare.gov marketplace.