January 27, 2015 | Anthony Brino and Susan Morse

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.

January 22, 2015 | Anthony Brino

In a crowded market dominated by the Blues, a hospital-owned health plan is trying grow in tandem with Medicare and Medicaid enrollment, seeing potential in suburban Baby Boomers.

December 18, 2014 | Anthony Brino

One Medicare Advantage company offers a parable for what can go wrong in the business of managed healthcare.

December 4, 2014 | Anthony Brino

Improving healthcare for the nation's Medicare-Medicaid dual eligible population seems to be just as complex as the beneficiaries' health needs, so state leaders are seeking help and more flexibility from the feds.

October 8, 2014 | Anthony Brino

In a new market for western Pennsylvania healthcare lives, Highmark and UPMC are finding old disputes lurking, adding to consumer confusion amid a new product launch and open enrollment.

October 3, 2014 | Anthony Brino

Another health system is taking a step into insurance with Medicare Advantage, banking on seniors wanting access to a prestigious brand.

September 18, 2014 | Anthony Brino

Struggling Medicare Advantage and Part D drug plans are being given a last minute reprieve, although they will need to show more improvement if they want to stay alive longer than a year.

September 10, 2014 | Anthony Brino

Health reform is creating a new impetus for regional payers and providers to collaborate on long-standing problems. Medicare is proving to be a good place to start.

August 18, 2014 | Anthony Brino

Among providers trying to get into the insurance game, some are starting off small at the local level, but in a big, growing market segment.

August 12, 2014 | Anthony Brino

Amid challenging trends in drug prices and formularies, independent pharmacy advocates are pushing for a new "any willing" provider mandate in Medicare Part D.

August 7, 2014 | Anthony Brino

Federal health officials are increasingly scrutinizing Medicare Advantage risk adjustment, suggesting policy changes and even clawbacks to come.

July 29, 2014 | Anthony Brino

Lawmakers, taxpayers and health organizations concerned about Medicare's sustainability can breathe a small sigh of relief, if not hold their breath.

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