CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

The key issue in the emerging national health care debate is the role of the federal government. While some Members of Congress favor a “single-payer” national health insurance system—”Medicare for ...

ZeOmega believes that this designation underscores its differentiation in modernizing payer care management amid rising ...

Leaders from the world of reimbursement explored the complex relationship between payers and providers in oncology, focusing ...

At the Fierce Health Payer Summit on Dec. 5, payer executives gave an update on the ACA dilemma in Congress and how it’s ...

BOSTON — Nearly two decades after Massachusetts started requiring every resident to carry health insurance, advocates say they’re building support to again transform the state’s health care system. In ...

Sen. Kamala Harris (Calif.) and colleagues introduce their Medicare For All bill during a news conference on Capitol Hill in Washington, D.C., U.S., on Wednesday, Sept. 13, 2017. Fifteen Senate ...

Payer provider view ultra high-cost drugs highlights the need for outcome-based payment models to manage financial risk in therapies over $1 million.

A statewide group that for years has pushed for a single-payer health care system in Massachusetts is buoyed by the fact that voters in nearly a dozen legislative districts during the last election ...

Healthcare reform has been a topic of debate in the United States for decades. Two terms often used to discuss it are "universal healthcare coverage" and "single-payer" system. Yet "single-payer" as a ...

Karl Marx could have been forecasting the future of California when he said that history repeats itself – first as tragedy, then as farce. The tragedy is a state budget of $225.9 billion this year, ...

Other states will be watching the debate play out in Sacramento. Earlier this month, a California assembly committee approved two measures to overhaul the state's health care system and provide ...