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News

Modern provider-payer accountable care not a repeat of 90s

Today's accountable care models are not the same as the arguably failed experiments of managed care organizations in the 1990s, said America's Health Insurance Plans' (AHIP) President and CEO Karen Read more...

Hospital prices lowered with health plan consolidation

As anti-monopoly critics feared, hospital market concentration leads to higher hospital prices, according to a new study published in Health Affairs. However, the same is not true for concentrated Read more...

Reform to fundamentally change healthcare business model

Hospitals, insurers and physicians will have to make fundamental changes to their business model in a post-reform operating environment, according to a new report by the venture capital firm the Read more...

RWJF awards grants for improving quality of care

The Robert Wood Johnson Foundation has awarded $1.3 million in grants to healthcare collaboratives in 16 cities to assess ways to pay for healthcare services based on quality rather than volume, Read more...

Georgia hospital deal scrutinized as 'monopolistic' by FTC

The Federal Trade Commission board voted unanimously Wednesday to challenge a pending deal for Albany, Ga.-based Phoebe Putney Health System to acquire Palmyra Park Hospital, also in Albany, from Read more...

Obama Administration delays rules for appealing patient payment denials

The Obama Administration is postponing until January 2012 rules intended to help patients appeal denials of care from their insurers, reports Kaiser Health News. The delay has put some consumer Read more...

Integrated health systems help to keep the focus on patients

With the rising interest in accountable care organizations, this might be a good time to take a closer look at how integrated healthcare systems represent a departure from traditional healthcare. Read more...

SPOTLIGHT: Individual insurance market will see bumps, but expects long-term growth

The individual health market "is an important and growing market for health plans," says analyst Debra Donahue in Mark Farrah Associates' June 24 Healthcare Business Strategy. "It is emerging as a Read more...

SPOTLIGHT: Failure of health reform might be bad news for health plans

At first glance, many observers have assumed that health insurers would do well if the health reform effort collapsed. But in reality, that might not be true, suggest some health policy experts and Read more...

In wake of reform shakeup, Senate Dems turn focus back to insurers

So, what's a Democrat to do in times like these, with the filibuster-proof 60-vote health reform edge gone overnight? Short of the votes needed, House Speaker Nancy Pelosi says that she's ready to Read more...

Press Releases

Health Reform to Require Insurers to Use Plain Language in Describing Health Plan Benefits, Coverage

WASHINGTON--(BUSINESS WIRE)-- People in the market for health insurance will soon have clear, understandable and straightforward information on what health plans will cover, what limitations or Read more >>

UnitedHealthcare Completes XLHealth Acquisition

MINNETONKA, Minn.--(BUSINESS WIRE)-- UnitedHealthcare, a UnitedHealth Group (NYSE:UNH) company, has completed its acquisition of XLHealth Corporation, (XLHealth) a sponsor of Medicare Advantage Read more >>

Windsor Health PlanSM Names New President

Industry Veteran Dr. Hassan Rifaat Will Lead Medicare Advantage Business ATLANTA & NASHVILLE--(BUSINESS WIRE)-- Windsor Health GroupSM today announced that Hassan Rifaat, M.D., has joined the Read more >>

Dossia Joins Forces With Patient PAL to Provide Individuals With Tools Necessary to Put Them at the Center of Their Health

Leading health management system provider integrates with leading patient advocacy service to empower individuals with tools to enable them to obtain higher quality healthcare CAMBRIDGE, Mass.--( Read more >>

Alere Receives Full URAC Case Management & Utilization Management Accreditation

ATLANTA--(BUSINESS WIRE)-- Alere Health, one of the nation’s leading providers of integrated health and wellness solutions for health plans and employers, announced today that it has been awarded Read more >>