The Rhode Island health insurance commissioner has announced an overhaul of the office's "affordability standards," requiring insurers to increase the percentage of their primary care networks that operate as "patient-centered medical homes" by 5 percentage points in 2016.
Michigan-based insurer Priority Health wants to control healthcare costs—so it plans to reward its members who hunt down the best price for their medical procedures.
Despite the Affordable Care Act's push toward value-based care, bundled or incentive payments still make up only a portion of how doctors are paid, according to a new study in the Annals of Family Medicine.
The federal government could save anywhere between $15.2 billion and $16 billion annually if it negotiated Medicare Part D prescription prices with drug makers.
Anthem and Cigna's acquisition saga may finally bear fruit, as the two companies are poised to announce an approximately $48 billion deal this week.
In an attempt to keep health insurance premiums affordable for consumers, state regulators have been asked to take a closer look at rate requests before granting them.
The main trust fund that finances Medicare's hospital insurance coverage will run out in 2030, the program's trustees said in a report issued Wednesday, adding that while this is unchanged from last year's projection the long-term funding outlook has improved.
Some of the country's major insurers are showing that health systems aren't the only industry players expanding their reach into the booming urgent care business.
It's no secret the healthcare industry is in the midst of a transformation, as more practices consider new delivery and payment models to help achieve the Triple Aim of improved care, better population health and lower costs. What's less certain are the particular changes practices should make to adapt.
Perhaps trying to ease concerns about the company's impending merger with Humana, Aetna CEO Mark Bertolini reiterated the benefits of the deal in an internal memo to his employees.