Highmark wants to reduce hospital readmissions to help chip away at the $25 billion they cost the healthcare system, requiring hospitals participating in its pay-for-performance program, called Quality Blue, to track and curb readmissions.
Massachusetts now boasts the country's highest rate of residents with health insurance (98 percent), decreased emergency room visits (down 4 percent) and more preventive care visits (up 5.9 percent).
To fundamentally change how healthcare fraud is rooted out, health insurance companies should conduct robust screening of providers in their network.
In the wake of yesterday's U.S. Supreme Court ruling, insurance companies large and small responded to the high court's decision to uphold the Affordable Care Act--and almost every one focused on reducing costs and collaborating with lawmakers.
Aetna has partnered with Northern Virginia's Inova Health System to create the perfect win-win solution to providing and paying for healthcare services in the region, at least according to officials from both companies.
A federal health advisory panel's new recommendations could lead to a surge in insurance coverage for obesity-related counseling, treatments and services.
Broad trends and discussions pre-date the reform law and will continue post-Supreme Court ruling, according to experts at AHIP Institute 2012.
Two health insurers--HealthPartners and Blue Cross Blue Shield of Michigan--have focused their attention on collaborating with providers to improve health outcomes. One key to successful...
To successfully reform payment methods, payers must engage in meaningful collaborations with providers that move beyond simply altering payment structures to incorporate care coordination, the right information and better incentives for providers.
Better integrated care, improved population health and enhanced consumer engagement are the three keys to a high-value, low-cost healthcare system, three chief executives from major insurers said Thursday during the AHIP Institute 2012 in Salt Lake City.