Jill Sederstrom is a Contributing Editor
Plans, NGA examine infant mortality
Japan and the UK outrank the United States in infant mortality measures
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Expect Medicaid expansion to relieve some cost shifting
Reduction in uncompensated care benefits insurers
Hawaiian plan adopts shared-risk model
A large health insurer in Hawaii is taking an aggressive step away from the traditional fee-for-service delivery system.
Employers consider direct contracts, sidestepping traditional payers
More employers are interested in exploring direct contracting arrangements with providers, according to healthcare experts.
Pricing must move beyond context of existing market
Healthcare experts say a move away from the fee-for-service payment model can't happen too soon.
Specialty drug coverage undefined for essential benefits
Four-tier formularies have emerged as one method to control the rising costs associated with specialty pharmaceuticals.