Health insurance plans serve as the financial backbone of health care, functioning as the crucial link between employers and providers in the $2.5 trillion industry. Topics include: claims management systems, quality improvement programs and claims processing standards.


Subsidy Ruling Could Further Delay Employer Mandate

New ACO, Practice Management Accreditation Programs Launched

Major Changes Underway in the Healthcare Market

Excitement Tinged with Caution Follows IBM-Apple Deal

Aetna Looking to Work with Providers on ACOs

Predictive Analytics Continue to Elude Healthcare

EHRs Not Enabling Systemic Fraud, Say Researchers

How Does Your Ambulatory Clearinghouse Rate on Service?

Tips for ICD-10 Testing

Stage 2 Attestation Struggles Continue

HCCI Gets Full Access to Medicare Claims Data

Patient Engagement Platform Sees Explosive Growth

Biomedical Data Analyses Can Predict Metabolic Risk

Defining Accountable Care In The Age of ACOs

Most Federal HIX Inconsistencies Went Unresolved

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Physicians, frequently perceived as a roadblock to a high-quality/low-cost paradigm, often spearhead IT advances central to the effort.

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