health plans

Latest Headlines

Latest Headlines

What hospitals must know about getting into the payer game

Amid an era of "merger-mania" among major U.S. health payers, many hospitals and health systems want to get into the payer business themselves to prevent the consolidations from having a negative impact on their local markets, according to Reuters.  

Employer-sponsored plan enrollment steady

Consumers enrolled in employer-sponsored health plans over the last two years are largely staying in those plans, according to a new report from the U.S. Bureau of Labor Statistics.

Could mega health plan mergers drive down healthcare costs?

There's been concern that the recent mega-mergers proposed by health plans could wind up driving up costs in the provider realm. But that trend could actually lead to counterintuitive results, according to CFO magazine. Instead, the article posited, the mergers could lower costs in the long run.

HFMA's healthcare pricing guide for consumers falls short

In advance of its annual national institute that opened in Orlando on Monday, the Healthcare Financial Management Association has released an update of "Understanding Healthcare Prices: A...

CMS provides update on reinsurance collections, sets 2016 rate filing date

The Centers for Medicare & Medicaid Services (CMS) made statements  this week about the Affordable Care Act's reinsurance program as well as rate-filing requirements for 2016 plan year. Here's a quick look at how both announcements will impact health insurers.

Insurers find loopholes around covering contraceptives

Some insurers are using  federal regulations to their advantage to exclude generic versions of contraception from free coverage.

Will insurers take a bath on risk corridors?

Risk corridors, intended to protect health carriers from potential losses as the program got off the ground, primarily from the adverse selection of new enrollees, may not shield insurers as originally intended, according to Scott Gottlieb, M.D., a conservative writer and ACA critic.

High deductibles may push patients to put off care

The rising out-of-pocket costs for health insurance force millions of middle-class Americans to forego checkups and other needed medical care, acc ording to  USA Today.

Healthcare spending may reach $10K per person this year

The year 2015 may be the year where healthcare spending in the United States reaches a specific milestone: $10,000 per person.

Patients willing to share health data, but only for a good reason

Patients are becoming more willing to share their health information publicly, but there is one caveat: It has to be for a good reason.