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May 8, 2015 | Anthony Brino

While so much is changing, so much is still the same in healthcare, like the fact that some 85 percent of commercial health insurance payments are still paper-based.


May 4, 2015 | Anthony Brino

Amid record enrollment, some Medicare Advantage insurers are finding their payment-linked risk scoring practices to be the subject of scrutiny and lawsuits.


March 31, 2015 | Anthony Brino

Health insurers in New Jersey are complaining of a cost crisis arising from regulations meant to protect patients receiving emergency healthcare and involuntary out-of-network treatment.


March 3, 2015 | Anthony Brino

Health insurers treading in legacy business processes are turning to contractors for help ply the new waters of reform, fueling an $8 billion market of its own.


February 13, 2015 | Anthony Brino
After a weekend of Merlot, brie, oysters and chocolate (and maybe more snow), a sampling of the most prolific prose from an annual healthcare tradition: health policy valentines.

January 15, 2015 | Anthony Brino

A few months ago, North Carolina's largest insurer was hesitant to reveal hospital payments on a state-mandated consumer information website. Now, it's making a bigger leap with its own online transparency initiative.


January 13, 2015 | Anthony Brino

Advocates of a radical reform solution are pointing to new evidence of the burdens of private sector administrative bureaucracy.


November 3, 2014 | Anthony Brino

All HIPAA-covered health organizations, and especially insurers, have been handed a small victory in the war of administrative simplification, as federal regulators once again back off a policy change long in the making.


October 29, 2014 | Anthony Brino

Figuring out when members are covered by different types of insurance can be a struggle, or not even possible. It's a source of waste and confusion that some insurers are trying to root out.


October 28, 2014 | Anthony Brino

The raison d'etre and central function of health insurers has had a slow time coming into the 21st century. But with both providers and patients demanding a better experience, the impetus for progress could bring a critical mass.


June 13, 2014 | Eric Wicklund

Amid the shift to high-deductible health plans, patients are finally getting more convenient options to pay for their health services up front.


May 29, 2014 | Bernie Monegain

The annual PayerView Report, from health IT company athenahealth, reveals the healthcare payer that has the best relationship with providers and the one that has the most problems.


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