News
HealthCare.gov has a new czar to replace fix-it guy Jeff Zients: former Microsoft executive Kurt DelBene.
Mired deep in early problems it didn't expect with the exchanges, Aetna turned to tools from its previous large enrollment experiences to get operations on track.
As providers move slowly toward value-based models, board structure and governance practices are aligning to the new business paradigm. But they still have a long way to go, particularly in the areas of diversity and governance processes.
Tennessee's three incumbent Medicaid managed care organizations won the latest rebid contracts, although at least one of them may end up with fewer members and revenue.
Medicare pay cuts to physicians moved another step to being delayed and eventually eliminated as lawmakers again considered the sustainable growth rate formula for reimbursements.
Nonprofit healthcare providers may be at a tipping point with mounting negative pressures and more downgrades anticipated in 2014, a recent Standard & Poor's ratings report said.
Medicare Advantage has been using a risk adjustment payment formula since 2007, and now a similar approach is coming to insurance exchange markets.
The Obama administration's 2014 fiscal year budget proposal included a 28 percent cap on the benefits of tax-exempt bonds that could have a dramatic impact on healthcare providers.
Things are looking up for physicians fighting to get their payments from Medicare stable.
Among the businesses eyeing the growing market for employer self-funding is one of Colorado's health systems, the University of Colorado Health.