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Hospital gives patients, payers a warranty

Taking a cue from car manufacturers and cell phone companies, some providers are starting to see value in guaranteeing a standard for quality and costs. Read more »

Few consumers using quality, price information in healthcare choices

Despite the government's push to make health information more available, few people use concrete information about doctors or hospitals to obtain better care at lower prices.

Aetna sees promise in oncology medical home

In a new oncology program in Florida, Aetna is trying to combine the medical home model with access to advanced care and translational research. Read more »

Rethinking managed care

What does managed care even mean these days? As the field has ballooned, its substance has been diluted, though it will still be useful in the new healthcare economy. Read more »

Cash-and-carry health insurance in Los Angeles

The largest publicly run health plan in the nation, L.A. Care, is letting customers who do not have traditional bank accounts to pay their health insurance premiums with cash. Read more »

Startup insurer Oscar gets $1.5 billion valuation

With another round of venture capital, Oscar Health Insurance is getting ready to enter new markets and try to become more than just a niche concierge health plan. Read more »

Of customers, beneficiaries, shareholder and taxpayers

Despite facing concerns about conflicts of interest, former UnitedHealth Group executive Andy Slavitt wants to blend the best of the private and public sectors in a bid to optimize the $1 trillion-plus health plans covering 140 million Americans. Read more »

Feds promise guidance for contraception EHB compliance

What constitutes reasonable limitations and management of contraception as an essential preventive health benefit? In the wake of new data and some consumer complaints, HHS may try to resolve gray areas. Read more »

UHG floats profitable quarter, sees busy year

Kicking off the spring season of managed care earnings statements, UnitedHealth Group shows that business is bustling for modernizing American healthcare and expanding insurance. Read more »

EEOC gives thumbs up to wellness

The Equal Employment Opportunity Commission is offering businesses long-awaited guidance on employee wellness programs, condoning controversial financial incentives while also raising some questions about other practices. Read more »

Only a fraction of hospitals score high in new Medicare ratings

In an effort to make comparing hospitals more like shopping for refrigerators and restaurants, the federal government has awarded its first star ratings to hospitals based on patients' appraisals. Read more »

IBC grows membership, revenue amid health reform efforts

Greater Philadelphia's largest insurer ended 2014 with a healthy margin, if one lower than a year before, and a portfolio full of new products and ventures. Read more »

Humana's Broussard calls out industry woes, urges embrace of upheaval

American healthcare does not need more technology, but leaders to think about systematic problems and how to create solutions for consumers, argues the CEO of Humana. Read more »

Endpoints: New diabetes drug may bring heart risks

A fresh stream of data is raising some concerns about a new class of diabetes medicines and their relation to long-term heart health. Read more »

UHG piloting rewards for health in app collaboration

UnitedHealthcare is testing the waters of consumer rewards and digital engagement, in a new partnership with Walgreens that's aiming to spur better health choices. Read more »

As home medicine advances, an opportunity for insurers

A sustainable Medicare payment for home-based medicine is on the horizon, and some insurers are already major backers of the service. But health plans could be doing more, especially in Medicare Advantage. Read more »

UPMC, Highmark face off on Medicare Advantage network

Despite some lulls, the war between the University of Pittsburgh Medical Center and Highmark is again raging, now with a battle over Medicare Advantage plans and oncology reimbursement. Read more »

Cadillac tax fears driving private HIX surge

How far can private exchanges go? New data suggest a large migration is in the works, even as the model brings some uncertainties for employers and insurers. Read more »

NYC public health system looks to double its insurance plan

To fix financial woes, New York City's taxpayer-owned health system is plotting a comeback and planning to give more residents a kind of public option for health insurance. Read more »

Coalition amps up transparency wave

As consumers increasingly are being asked to pay a larger share of their health bills, a coalition of insurers, pharmaceutical companies and provider and consumer advocacy groups launched a new push for greater transparency about the actual costs of services. Read more »

Medicare Blues plans vary on quality ratings

The Blue Cross Blue Shield brand may bring the idea of a consistent kind of health insurance, as the winner of one "health plan brand of the year" poll. But in Medicare Advantage satisfaction ratings, that is not the case. Read more »

UHG dives into convenient care space

Just as rival Humana exits the market, UnitedHealth Group is growing its portfolio of retail health clinics, in another step towards insurer-owned healthcare delivery. Read more »

More mental health parity coming for Medicaid, CHIP

A 2008 federal law was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care. But until now, the government had only spelled out how the law applied to commercial plans. Read more »

Spring song for Medicare Advantage

For the third year, regulators have revamped reimbursement reductions into an average increase for Medicare plans serving America's growing senior populations, though not without requiring more work and oversight. Read more »

In executive moves, Horizon turns to analytics

Horizon Blue Cross Blue Shield of New Jersey is on the trail of all things data, with a new executive position given a charge of making sense of it all, plus some other major comings and goings. Read more »

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