Gregory A. Freeman is a contributing writer for HealthLeaders.
The company reported benefits from the recent corporate tax reform bill. Anthem also increased medical enrollment over the previous year.
Doctors are ordering more advanced laboratory and genetic tests than ever before, and the reimbursement cost can hit health plans hard. Expenses can be cut without harming patients, one expert says.
Healthcare CFOs are facing demands for growth at the same time payers are looking for lower costs. Proper management of capital resources is becoming the key to making it all work.
Hefty tax on generous health plans delayed two years. A repeal may be more likely than ever.
The health plan denies payment if a patient goes to an emergency department and the diagnosis is not a true emergency.
Shorter sign-up period and lack of advertising did not trim ACA exchange enrollment. But the uninsured rate may increase in 2018.
CMS recently announced a new version of its bundled payments program, with more incentives to participate. Doctors can qualify for higher payments under MACRA, an advantage for hospitals looking to affiliate with physician groups.
The individual health insurance market is still a slog for health plans, but health plans remain profitable overall because of their group coverage sales.
With the healthcare industry landscape so uncertain, CFOs are feeling pressure to 'advise on the financial impact every decision an organization makes.'
The lawsuit is the first in response to the Trump administration dropping the subsidies. It asks for damages in the amount of the subsidies it would have received.