If the industry allows new models to thrive and clears a pathway to spread and scale reforms, healthcare could be more efficient.

Two major insurers, Anthem and Cigna, are planning to reduce their Affordable Care Act exchange footprints in 2018—if only slightly.

Oscar Health will not only return to the Affordable Care Act exchanges in New York, New Jersey, Texas and California next year, but it will also expand its…

As many as 1 in 5 older Medicare patients will return to the hospital within 30 days after being in observation or a short-term outpatient stay.

The Centers for Medicare & Medicaid Services unveiled a proposed rule that updates the Medicare physician payment system implemented under MACRA.

Syed Mehmud describes how he used predictive modeling to uncover the factors that drive financial success—and struggles—on the ACA exchanges.

Two large health systems have connected with the nation's largest public health information exchange (HIE) to advance population health initiatives.

​​​​​​​Humana increased participation in its employee wellness program by engaging with staff on how to shape it in the future.

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