Business Strategy

Stem cells could successfully treat chronic conditions with significant cost savings.

Plans prepare for new members with data-driven risk assessments.

A recent Census report shows how healthcare reform has started to affect healthcare coverage.

Surveyed readers indicate that Medicare and Medicaid will be 2013's big winners

Healthcare spending is expected to dip in 2013, but projections indicate that the spending could jump significantly in 2014 because of PPACA.

A look at the PPACA Medicaid expansion shows how politics are going to shape it.

Review the five core antitrust principles of health insurance mergers.

Consumers say that choosing healthcare benefits is the most difficult major life decision behind saving for retirement.

Legislation proposed by Michigan's governor would modernize the state's regulatory system in time for changes under PPACA.

WellPoint has a history of major acquisitions, and the new CEO already has something on the to-do list.

The pressure is on to reduce costs, and many plans are finding creative ways to outsource operation functions.

Four executives discuss HIV/AIDS, treatment options, and how things have changed in 30 years

Insurers move toward a consumer-facing, retail marketplace.

Healthcare gaming has made progress in the past year by allowing consumers to engage in health via mobile devices.

IT analytics help plans identify patient populations and anticipate member behavior.

Narrow, high performance networks are making a comeback.

Healthcare experts say a move away from the fee-for-service payment model can't happen too soon.

Few consumers are able to find adequate cost and quality information that truly helps them make cost-conscious healthcare decisions

Well-constructed data integration strategies can help manage the swelling data flood.

The concept of rewarding quality improvement is widely embraced, but implementation is far from perfect.

Interoperability rules go into effect soon.

Consolidation efforts have increased nationwide as large insurance companies concentrate on Medicare and Medicaid business.

WellPoint is coupling together a new portfolio of payment for its PCPs, offering them more cash and fewer hassles.

In the era of escalating healthcare costs, the private market has managed to reduce baseline admin costs

In 2011, Medicaid financed care for 70 million people at a cost of $432 billion. Broader eligibility requirements are expected to bring another 16 million into the pool.