Blue Shield of California removing two hospitals from network

Insurer states rates would have been higher if the insurer kept the dropped hospitals. 

By Nina Flanagan • Oct. 29, 2015

California targets uninsured who quality for health insurance subsidies

California's health exchange will spend $29 million on an ad campaign for the upcoming three-month enrollment season. 

By Nina Flanagan • Oct. 27, 2015

Quality Systems sells NextGen's hospital solutions division

The division was sold to QuadraMed Affinity for an undisclosed sum. 

By Nina Flanagan • Oct. 27, 2015

Healthcare workers' confidence in economy, jobs highest ever recorded

Randstad Healthcare's survey reflects the healthcare job sector experiencing rapid growth. 

By Nina Flanagan • Oct. 27, 2015

Humana stock drops 11% as Clinton pans proposed mega-mergers

In addition, other insurer groups' stock fell after Hillary Clinton called herself "skeptical" of such deals.

By Heather Caspi • Oct. 23, 2015

Collective Health raises $81M with Google Ventures joining investors

This latest round of financing increases the company's total efforts to $119 million. 

By Nina Flanagan • Oct. 22, 2015

Venture capital funding for health IT rebounds in Q3

VC funding is up 32% this quarter after slow start. 

By Nina Flanagan • Oct. 22, 2015

Harvard research finds acquisition of physician practices increases outpatient spending

Some physicians don't agree with the study's conclusions. 

By Nina Flanagan • Oct. 22, 2015

House to vote Friday on ACA reconciliation bill

The Congressional Budget Office (CBO) estimates the bill will reduce federal spending by $130B.

By Nina Flanagan • Oct. 22, 2015

Millennium Health scraps up $256M to settle false claims lawsuit

In addition, the company is preparing for bankruptcy.

By Heather Caspi • Oct. 21, 2015

What the potential Medicare Part B increases mean for healthcare

The projected increases could impact everyone from beneficiaries to providers, payers. And one expert says a piece of the puzzle isn't being discussed enough.

By Heather Caspi • Oct. 21, 2015

NY takes first action under state's 'surprise medical bill' law

Four NY urgent care centers have agreed to disclose more clearly which insurance plans they accept after an inquiry by the attorney general. 

By Nina Flanagan • Oct. 20, 2015

Oregon, Colorado latest in series of health co-op closures

Reduced risk corridor funding has been the nail in the coffin for several co-ops.

By Heather Caspi • Oct. 19, 2015

HCA earnings suggest ACA market boom winding down

Does a weak third-quarter for HCA signal anything deeper for the industry at large?

By Heather Caspi • Oct. 19, 2015

The ripeness for the behavioral health market is now

As it remains to be seen which companies will be the most successful, renewed focus on mental health is spurring on investors. 

By Nina Flanagan • Oct. 19, 2015

Why Xerox is posting a $385M charge for state Medicaid contracts

The company stated it will not complete implementing Medicaid payment systems for Montana and California. 

By Nina Flanagan • Oct. 15, 2015

How a mental health startup raised $35M

Lyra Health plans on making their digital tool available to self-insured companies and health plans in 2017. 

By Nina Flanagan • Oct. 15, 2015

Study: Decreases in 'low-value' services not significant

Three of seven 'low-value' healthcare services have slightly decreased. 

By Nina Flanagan • Oct. 15, 2015

Tennessee health co-op to stop offering coverage in 2016

Another health co-op bites the dust.

By Jeff Byers • Oct. 14, 2015

Kentucky Health Co-op closing due to financial hardships

Close to 51,000 members will have to find other insurance by Dec. 31. 

By Nina Flanagan • Oct. 13, 2015

Dell buys EMC for $67B

The deal includes EMC's healthcare data analytics division, featuring clients such as Partners HealthCare, University of Chicago Hospitals and Health System, and St. Luke’s Health System. 

By Kathryn Moody • Oct. 12, 2015

US spending more on healthcare but faring worse than peer nations

The U.S. is paying more but not getting more, researchers at The Commonwealth Fund say.

By Heather Caspi • Oct. 12, 2015

San Francisco patient-dumping incident costs Nevada $400,000

San Francisco filed a lawsuit claiming a Las Vegas hospital bused patients with mental health issues to the Bay area without care plans. 

By Nina Flanagan • Oct. 8, 2015

Study finds complex patients tend to switch out of Medicare Advantage

The results and responses raise questions about Medicare Advantage serving patients with complex care needs. 

By Nina Flanagan • Oct. 8, 2015

Out-of-network charges average 300% more than Medicare rates, AHIP finds

Analysis finds some out-of-network treatments 1,400% higher than Medicare reimbursements but certain industry experts aren't buying it.

By Nina Flanagan • Oct. 6, 2015