Payer

In a healthcare landscape where 70 percent of physicians prefer fee-for-service payment models¹, tying physician payment to outcomes requires realigning entrenched clinical processes with new value-based methods.

A number of U.S. health system executives plan to implement Medicare Advantage strategies, but few are optimistic those strategies will be successful, according to a recent survey by Lumeris.

Anthem and its affiliates from nine states filed a lawsuit against Sebastopol, Calif.-based Sonoma West Medical Center June 1, accusing the hospital's toxicology program of engaging in fraud and fraudulent concealment, among other charges, according to the Sonoma West Times…

What picture comes to mind when you think of the relationship between providers and payers?

Insurers on the ACA exchanges in New York and Washington state are proposing double-digit premium hikes in 2019, according to The Hill.

Cigna inadvertently revealed private information, including bank account details and claims information, of some policyholders in Asia, the health insurer told Bloomberg.

Blue Cross Blue Shield of Texas will delay implementing a controversial emergency room policy for 60 days as pushback and questions mount, according to the Houston Chronicle.

Negotiations between Oceanside, N.Y.-based South Nassau Communities Hospital and Empire BlueCross BlueShield stalled before a July 1 deadline, according to liherald.com.

Cigna will buy the life insurance arm of ANZ Bank New Zealand, OnePath Life, for $700 million, the company announced May 30.

Americans working in the building and ground cleaning sector had the highest uninsured rate in 2014, according to recent CDC data.