Gregory A. Freeman is a contributing writer.
Texas is the latest state to create a simplified physician credentialing system for health plans. The goal is to draw more physicians into Medicaid programs.
Data may be the key to surviving in the changing healthcare industry.
Participants in Medicare's ACO program are not willing to take on the risk of losing money. A recent survey found most will quit the program altogether instead.
An alliance of five healthcare organizations will run a blockchain pilot to create a provider directory. If successful, the approach could lead to cost savings.
The plan launched three years ago and is showing good results in quality measures.
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.
The health plan moves into maternity after bundling joint replacements. Five OB-GYN practices will kick off the maternity bundling program.
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.
Consumers may be abusing an ACA provision that allows them to re-enroll after their coverage was terminated for nonpayment, a government report says. The practice may undermine the stability of the healthcare insurance exchange.
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.