- Gregory A. Freeman, April 25, 2018
Democrats are pushing for a Medicare program that would cover all Americans, a change that would rattle the healthcare industry. Uncertainty over how quickly to proceed may slow their efforts.
- Steven Porter, April 24, 2018
The IPPS proposal calls for greater price transparency from hospital providers.
- Gregory A. Freeman, April 18, 2018
A not-for-profit health system in Florida is launching its own Medicare Advantage plan. The local market has plenty of competition but the system sees the health plan as the right move.
- Gregory A. Freeman, April 4, 2018
Waiting for prior authorization decisions for some medical care is not only irksome but can be dangerous to patients. Health plans are loosening the reins a bit.
- Gregory A. Freeman, April 11, 2018
PBMs, retailers, and providers are getting together to integrate health plans, with Walmart-Humana taking mergers to another level of complexity and transformation, says one healthcare consultant.
- John Commins, April 2, 2018
Total civil recoveries are down $400 million from fiscal year 2016, but in line with the five-year annual average of $1.2 billion.
- Gregory A. Freeman, March 28, 2018
Consumers may spend more and get lower-quality care when trying to navigate the healthcare system on their own. Everyone may benefit when insurers guide them.
- Gregory A. Freeman, March 21, 2018
Even as insurers see improvements and cost savings from value-based arrangements, they have to look for new ways to implement the strategy.
- Gregory A. Freeman, March 14, 2018
The companies' proposed merger could be closely scrutinized. Cigna is looking to increase purchasing power, particularly with specialty drugs.