payer-provider partnerships

Latest Headlines

Latest Headlines

Humana considering sale of Concentra

Humana is considering selling Concentra, its provider subsidiary that is valued at about $1 billion, three people familiar with the matter told Reuters.

Hospitals seek payer partnerships, risk-based contracts

More hospitals participate in accountable care organizations and group purchasing organizations in hopes of improving cost efficiencies, according to a new report from ITG Market Research. In addition, many now seek partnerships with federal and private payers for risk-based models like shared savings and bundled payments. 

Small hospitals playing ICD-10-guessing game with payers

With only a year until the ICD-10 transition, smaller hospitals have jumpstarted their staff training but still lack preparations to work with payers, according to a new survey from Health Revenue Assurance Holdings.

Hospital group rebranding expands health plan offerings

Hudson Holdco, which has renamed itself CarePoint Health, is transforming itself from a small one-county hspital operator to a payer-provider organization operating throughout the state of New Jersey.

Hospitals expand offerings with insurance plans

The line between provider and payer continues to blur, with more hospitals offering their own health insurance plans.

3 effective ACO strategies from Aetna

It seems almost every insurer has created an accountable care organization in the last few years since the health reform law passed, but how can they ensure the success of these payer-provider collaborations?

Blue Shield, providers save $37M by coordinating care

By partnering with a hospital chain and doctor group to coordinate care for members of the California Public Employees' Retirement System (CalPERS), Blue Shield of California helped save $37 million for the state program.

Health execs expect more domestic, overseas partnerships

More than a third of surveyed California healthcare executives expect healthcare reform to prompt industry partnerships, but another third say more partnerships were on the horizon anyway.

Fierce Q&A: Richard Maziarz, MD, on how to improve provider-payer relations

As the industry moves toward collaborative, integrated healthcare across the continuum, providers and payers need to forget the "us-versus-them" mentality and work together in meaningful...

Highmark-West Penn merger sets precedent for payer-provider deals

The U.S. Department of Justice's recent approval of the affiliation agreement between Pennsylvania's Highmark and West Penn Allegheny Health System--a takeover of WPAHS by the insurer--should provide