Politics and Policy

A survey of 2,398 physician leaders across the country indicates how physicians are changing their views on value-based care. View the survey findings.

Today’s value-focused economy was a primary discussion point at a recent roundtable of health plan CEOs. The discussion led to five essential attributes that organizations must embrace to thrive.

Presidential hopeful Jeb Bush unveiled his healthcare plan; one expert offers his ideas about it.

Here are five of key things managed healthcare executives should know about the act.

Judge Rudolph Contreras ruled against the Department of Health and Human Services by saying that pharma companies do not have to offer rural and cancer hospitals that serve low-income populations 340B discounts on orphan drugs.

Five candidates in the campaign for the Democratic Party's presidential nomination took the stage October 13. Here are five key takeaways.

The National Health Council recently released a state progress report of health insurance exchanges. View the key findings.

Quality, financial performance provides glimpse at long-term effects

Telemedicine is gaining broader acceptance, yet legal restrictions and reimbursement barriers continue to slow its momentum.

While expansion means better health, it is creating logistical and operational concerns that health plans must rapidly address.

Experts say the benefits of ICD-10 will far outweigh the risks. Here's why.

G. William Hoagland, senior vice president of the Bipartisan Policy Center, believes that the Affordable Care Act and possible repeals toward it will be issues in the 2016 election.

There are advocates who say Medicare needs to increase the type of coverage it provides for beneficiaries.

On the 50th anniversary of Medicare, a look at the program's past, present, and future.

Healthcare spending growth faster than recent trends.

The U.S. Department of Health and Human Services (HHS) will investigate how much money Medicaid has lost over the past decade paying for rising generic drug prices by comparing price increases between 2005 and 2014 against the rate of inflation.

A recent survey by KPMG identifies key challenges many organizations face in preparing for value-based reimbursement.

A recent report claims that many insurers are failing to comply with ACA coverage requirements. Here are some of the key requirements to pay attention to.

We are on the verge of healthcare modernization that will transform the healthcare experience.

Coverage decisions about new technologies, including access and cost considerations, are a major challenge for public and private payers.

How do we reverse the trend of super users and reduce costs for this small, unique pool of members? Here are some tips.

Health plans, exchanges and associations share their reactions to the Supreme Court's King V. Burwell ruling.

Any day now, the Supreme Court will decide the highly anticipated King v. Burwell, which will determine the viability of a central mechanism of the Affordable Care Act.

If most patients are not going to exceed their deductible in a given year, they are now “consumers” and are looking for differentiators that offer fixed fee care.