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Editorial

Is there really an individual mandate?

Robert Laszewski

Will tax-filing season be the next reason for consumers to complain about the new health law? Come tax time, will the Obama administration really enforce the individual health insurance mandate?

For loyalty, an ounce of convenience, prevention and wellness

Drew Kraisinger, Medecision

Creating "members for life" is the ultimate goal of any payer's customer loyalty effort. Competitive rates are one strategy to enhance loyalty, but in today's landscape of consumers who expect more engaging and cost-effective care, the proof is often in better health.

Feature Video

The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.
 

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.

 

Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

More than a dozen Blues are trying to attract the next generation of members and help keep current customers as they age. To do that, they're invoking old school insurance ideas for the modern world.

The U.S. Department of Health and Human Services wants have 50 percent of Medicare reimbursements tied to quality and value by 2018, even if that includes fee-for-service.

One state's home-grown approach to health reform has produced a few discrepancies in the implementation of the Affordable Care Act, including one big dispute between insurers over risk-sharing.

Are the two biggest forces in American healthcare, health insurers and health systems, investing enough in research and development?

Cigna is acquiring a hospital-owned managed care company that serves a fairly diverse customer base of employers, providers and even potential competitors.

In a deal showing just how massive and pivotal the quest is for digital modernization, Anthem is investing half a billion in a flexible, scalable cloud.

Until corporate wellness programs demonstrate ROI, many companies have to consider whether there are other ways to improve the health of their employees and the country.

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