Financial Management

Latest Headlines

Latest Headlines

Rhode Island requires insurers to amp up value-based payments

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 health insurer pays members to use cost-estimator tool

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.

Quality measures still represent a sliver of how doctors are paid

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.

Why insurers should negotiate with manufacturers for better drug prices

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. 

$48B Anthem, Cigna deal could come this week

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. CEO tells insurance commissioners to examine proposed 2016 rates

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.

Medicare trust fund to run out by 2030, trustees say

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.

Health insurers see growth potential in urgent care business

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.

Get ready for new payment and delivery systems

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.

In memo to employees, Aetna CEO lauds deal with Humana

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.