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Hospital rankings provide consumers with valuable information, but they're not always in agreement.
After several years of uneven progress, the pace of healthcare payment reform shifted into high gear in January when the U.S Department of Health and Human Services (HHS) announced plans to tie 30% of traditional, or fee-for-service,...
After the first year of Medicaid expansion under the Affordable Care Act (ACA), some healthcare providers and plans on the front lines are confronting operational—as well as political—challenges.
Read what a panel of distinguished industry experts has to say about the increasingly difficult job of managing specialty pharmaceuticals.
Blue Cross Blue Shield of Massachusetts has taken big steps to curb the growing opioid addiction problem.
Many employers that offer generous health insurance packages are not looking forward to 2018, when the so-called Cadillac tax will impose a 40% penalty on high-cost health plans.
Spurred on by the Affordable Care Act, retailers, health plans and providers are staking strong retail positions that are increasing coverage opportunities and access to care.
Public and private insurers are seizing the opportunity to devise programs that promote preventive care and positive behaviors.
From Blue Shield of California's recently-announced purchase of a Medicaid plan to Partners HealthCare's hard-fought effort to fold more hospitals into its Massachusetts health system, the volume of mergers and acquisitions...
Envisioning a public health threat, managed care recently notched up its readiness for an Ebola outbreak in the United States. Valuable lessons emerged from the latest effort, adding to the knowledge gleaned from other epidemics, such...

IN THE PIPELINE

INDUSTRY ANALYSIS
Pain points keeping execs of safety ...

Data, quality, specialty drug costs and social determinants of health are the pain points that are keeping executives at ...

Study finds earlier diabetes ...
Policy flaws negatively impact ...
Gap between dual eligible and ...

PHARMACY BEST PRACTICES
340B drug program causing controversy

Controversy surrounds the 340B Drug Discount Program, and many industry leaders agree that the healthcare law plays a ...

UnitedHealth Group acquires ...
Specialty pharmaceuticals ...
Closed formularies hold the line on ...

ACCOUNTABLE CARE
Payment reform shifts to high gear
Payment reform shifts to high gear

After several years of uneven progress, the pace of healthcare payment reform shifted into high gear in January when the ...

HHS launches Next Generation ACO model
6 developments bring optimism back ...
UnitedHealthcare enrolls 11 million ...

POLICY
Study finds earlier diabetes ...

People in states that expanded Medicaid under the Affordable Care Act are far more likely to be newly identified with ...

Payment reform shifts to high gear
The Medicaid expansion divide
Workaround for tax subsidies possible

LEGAL
Oral arguments in King v. Burwell

The oral arguments in King v. Burwell will determine the viability of a central mechanism of the ACA—tax credit subsidies ...

Data misreporting risks for Medicare ...
The risks and rewards of medical ...
Bad Apple rule updated by CMS

FOR YOUR BENEFIT
Signal through the noise

Independence Blue Cross and other Blue providers have partnered together to purchase a real-time secure communication ...

The Internet of (Health) Things
MA market's downside could be a ...
Reforming reimbursement

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