Hospitals & Providers

More than $8 billion has been saved this year as a result of the American Medical Association's (AMA) Heal the Claims Process campaign

Save costs when PCPs deliver services in the office setting

ACOs have a very specific template in Medicare, but can exist in many different forms in the private market.

As healthcare continues to evolve, new services and cost considerations are becoming available.

A look at ACOs indicates that success will depend on managing risks and choosing the best possible partners.

As the market has reduced its emphasis on employer benefits, insurers need to focus on why consumers choose specific plans.

MA plans can use multiple data tools to improve predictive-modeling expertise.

CDC recommends value-based strategies to help members control high blood pressure

Real-time data sharing plays big role in effective, high-quality care.

As the industry moves toward a retail environment, the importance of becoming member-centric can't be understated.

With implant-device costs on the rise, encourage members to seek preferred sites of care.

Paul B. Ginsburg discusses how new payment models are progressing

Early efforts by states drive value with Medicaid ACOs, coordinated care.

A recent study underscores the intuitive fact that a small percentage of patients consume a disproportionate share of healthcare dollars.

A large health insurer in Hawaii is taking an aggressive step away from the traditional fee-for-service delivery system.

PPACA's rate boost only goes so far

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

Slow-release depot antipsychotics help manage schizophrenia.

Brad Wilson discusses a new health clinic, created through a unique partnership between BCBSNC and UNC

As the motivation for implementing health exchange increases, some states have made little progress.

Medicaid populations might soon be facing additional problems in accessing care

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.

Providers, especially primary care physicians, are struggling to meet increasing demands.

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