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Group Health rolls out major medical home initiative

The conversation about the "medical home" model--one which, in essence, blends the tools of high tech patient population management with some old fashioned care giving--is quickly moving from an... Read more...

Obama cites Colorado town as model for reform

Grand Junction, CO looks like many small American cities, right down to the chain stories and ranch homes. But in one respect, it's quite different: It's known as a land where people get high-quality... Read more...

Pay-for-performance programs becoming more established

A new study has concluded that slowly but surely, pay-for-performance programs are becoming more established as part of the healthcare business. The study, the fourth annual survey on P4P by... Read more...

Study: Health plans adopting diabetes-control programs

A new report from the National Business Coalition on Health suggests that health plans are increasingly adopting specialized programs to help diabetes patients manage their condition. In a recent... Read more...

Balance billing ban upheld

In yet another chapter in the ongoing saga of balance billing, a judge in Sacramento recently affirmed state regulations looking to protect consumers from the practice. Last month, physicians in... Read more...

California balance billing ban challenged in court

California physicians were already up in arms about the new ban on balance billing before it even went into effect. So it's little wonder that they have wasted no time in challenging the ban in... Read more...

Minnesota's HealthPartners puts prices online

A Minnesota health plan has become another in the growing list of providers and insurers to put health services pricing information online. Bloomington, MN-based HealthPartners, a non-profit HMO... Read more...

CA bill gives state extra power to fine insurers who don't pay providers

In what is sure to be a cliffhanger, a bill has gone to California governor Arnold Schwarzenegger (R) for signature which would give the state beefed up power to fine HMOs and PPOs that don't pay... Read more...

CA doctors say state health plans made $4.3B in profits

In a study sure to raise the stakes in its battle to regulate HMO spending, the California Medical Association has released a study concluding that California health plans generated $4.3 billion in... Read more...

Health plans drop out of CT Medicaid over disclosure rules

Connecticut's Medicaid program is struggling to regain its equilibrium after a standoff over new provider contracting disclosure rules prompted a handful of health plans to jump ship. In 2007, Gov.... Read more...