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Trend: Medical home funding sources grow

While the notion of a "medical home" has been bubbling up through the healthcare industry for some time, it's still something of a new idea for many consumers, who've never lived in an era when Read more...

U.S. carriers expand health insurance businesses into China

Aetna has opened an office in Shanghai, where it hopes to expand its health insurance business. Other insurers such as CIGNA, UnitedHealth Group and WellPoint also have established roots in China, Read more...

AMA issues first health insurer report card

Increasingly, providers and their vendors have begun to rate insurance companies. This comes in part as a means of turning the tables on the insurers who, some say, have become far too focused on Read more...

Prime Healthcare picks up three Tenet facilities

A growing but controversial hospital chain has agreed to acquire three Tenet hospitals, expanding its network of facilities that reject all forms of managed care contracts. Hospitals included in the Read more...

Payer report ranks Aetna best for reimbursement turnaround

If you like getting paid quickly, Aetna may be your best bet, according to the third annual study by revenue cycle management company athenahealth. In its third annual PayerView study, it found that Read more...
Tags: health plans   Aetna   Medicaid  

OH plans, providers share pricing and quality information

This week seems to be a big one for transparency. Not only did Cigna roll out its nationwide physician and hospital rankings program nationwide, central Ohio got into the action, too. Anthem Blue Read more...

PA health plans pay PCPs to track care

A group of Pennsylvania health plans have come together to create a program paying family doctors and other caregivers to manage patient care more closely. Among other things, the program will make Read more...

UnitedHealth's Ingenix faces mounting legal troubles

A couple of months ago, New York Attorney General Andrew Cuomo rocked the health plan industry when he filed suit against UnitedHealth Group. In the suit, Cuomo argued that UHG was committing Read more...

CIGNA stops paying for its list of never events

CIGNA has become the latest health plan to pick avoidable conditions for which it won't routinely reimburse providers. Following CMS's lead, CIGNA has decided that it won't pay for standard "never Read more...

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