Financial Management

Latest Headlines

Latest Headlines

Challenges and opportunities for rural providers in new CPC+ initiative

The government's new Comprehensive Primary Care (CPC) Plus initiative presents both challenges and opportunities for rural providers, writes Janelle Ali-Dinar, Ph.D., a rural healthcare expert, on  RACMonitor.

Anthem ACOs save providers $14.8M in one year

Care coordination efforts initiated through Anthem's accountable care organization saved four medical groups nearly $15 million over the course of one year, according to a post on the State of Reform website.  

Aetna's first-quarter net income falls 7%

Aetna saw its Q1 net income decrease 7 percent--from $777.5 million to $726.6M--from 2015 to 2016, the insurer said in its earnings report Wednesday, and its total medical membership has fallen since the beginning of the year. However, its operating revenue rose 4 percent in the first quarter compared to the same period in 2015  

CMS' Andy Slavitt: New payment systems should provide relief to docs

Speaking at the World Medical Innovation Forum in Boston this week, Andy Slavitt, acting administrator of the Centers for Medicare & Medicaid Services, acknowledged that regulators have over-burdened physicians but was hopeful new value-based payment systems being developed will better align payments with clinical practice, according to  Becker's Hospital Review.

BCBSNC reimbursement delays hurt physician practices

Blue Cross Blue Shield of North Carolina's inability to reimburse some providers due to continuing technical glitches is causing financial strain and headaches for some physician practices, according to an  article  from the  News & Observer.  

Insurers predict hefty premium hikes in 2017

Citing financial pitfalls over the last two years due to sicker, costlier patients in the Affordable Care Act marketplace, insurers are predicting double-digit premium increases for 2017, according to the Associated Press.

Anthem's net income drops 19% in Q1

Anthem's net income dropped 19 percent year-over-year, from $865 million to $703 million, the insurer said in an earnings report out Wednesday. However, the insurer reiterated its 2016 adjusted earnings outlook of greater than $10.80 a share, and it saw an uptick in its total medical membership, which rose 2.8 percent in Q1 2016 compared to the year prior.

Strategic pricing key to some insurers' success in ACA marketplace

Despite finanical losses among some of the "big five" heatlh insurers, several smaller health plans are experiencing significant growth within their exchange plans thanks to premium price planning and comprehensive provider partnerships.    

Report: Reinsurance windfall not enough to keep ACA plans from steep losses

Though insurers received larger-than-predicted payouts from the reinsurance program in 2014, they still lost more than $2.2 billion on Affordable Care Act exchange plans that year, according to a new study from George Mason University's Mercatus Center.  

Cigna reaps ROI through education reimbursement program

Cigna's investment in employee education has paid off for the insurer in the form of tangible cost savings, according to a new study from the Lumina Foundation.