The need to tame healthcare spending and stay on top of potential competition has led health insurers to pair up with nontraditional partners. Here's how the five dominant national insurers are reshaping themselves and the industry.
For the second consecutive year median operating margins fell, hitting 1.9% in 2017, down from 2.8% the year prior. Still, improved liquidity measures bode well for not-for-profit hospitals.
Occupancy at SNFs across the United States reached a record low of 81.7% in the second quarter of 2018, down from 83.1% over the same period last year as policy changes take hold and competition ramps up.
Cleveland Clinic, the second largest employer in Ohio, reports that it boosted Ohio's economy by $17.8 billion in 2016, according to the system's latest economic impact report, which it produces every three years.
Two health insurance startups that are ditching high-deductible plans in favor of straightforward copays illustrate a growing sentiment that having patients pay more out of pocket won't tame rising healthcare costs and could harm patients' health.
Heritage Provider Network founder and CEO Dr. Richard Merkin says his goal is to continually push the envelope and try things that haven't been done before.
Although 16 states have all-payer claims databases, there's no evidence they have helped lower healthcare costs. Advocates say the databases should empower lawmakers and consumers by providing reliable data.
Virginia Mason Chairman and CEO Dr. Gary Kaplan says health systems can't sit around waiting for the payment model to change; they need to act now to drive more efficient, higher-value care.
Private equity firms increasingly see post-acute providers as lucrative investments, buying skilled-nursing and senior-housing facilities from REITs that are willing to sell because of the sectors' financial struggles.
Surprise billing continues to be one of the most vexing problems facing the industry. Patients often don't know that the anesthesiologist or another provider are out-of-network when they go in for care. Then the surprise—usually shock—when the bill arrives.
Patients' Kafkaesque experiences with out-of-network bills and opaque healthcare bureaucracies are common. But there's no sign yet that help is on the way from federal policymakers.
With a focus on research and training, academic medical centers have long prided themselves on being a destination for complex care. But they aren't always organized around the patient. Banner Health's Dr. Steve Narang thinks there is a better way.