Insurers for the most part disregard the warnings of critics that the hopes for accountable care organizations (ACOs) are overblown. At the very least plans expect this bulwark of the Affordable Care Act to usher in a new era of payer/provider cooperation.
The Medicare population presents unique challenges and the man who heads Cigna’s efforts in this market thinks he’s found the right response with physician buy-in and an innovative payment model.
Under Its Alternative Quality Contract, Blue Cross Blue Shield of Massachusetts aims to make global budgets work by having physicians and hospitals cut costs and pursue meaningful quality targets
The genomic revolution is under way. Just don’t expect it to be an early money-saver.
Are you dreaming of a world where mass cancer screenings are discarded as wasteful and personal genetics and ‘big data’ inform individually targeted therapies? Wake up — that world is fast approaching.
Many health insurance plans face challenges that DTC marketing might be able to address
The association between the two diseases is strong, and insurers should consider all management options
The Six Million Dollar Man had superhuman eyesight, but insurers won’t have to pay that much for this treatment
Anthem’s experience exposes vulnerabilities regarding the maintenance of physician networks