Humana is considering selling Concentra, its provider subsidiary that is valued at about $1 billion, three people familiar with the matter told Reuters.
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.
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.
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.
The line between provider and payer continues to blur, with more hospitals offering their own health insurance plans.
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?
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.
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.
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...
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