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Nearly one in five hospitals in the U.S. mark up medicine prices 700 percent or more--and eight percent are going as high as 1,000 percent.

Making sure clients and prospects understand how auto-adjudication affects their costs can lead to more groups willing to pursue alternative strategies that provide more transparency.

Opponents of the action argue the cost of any given procedure is more dependent on the kind of insurance carried by the consumer, not the provider.

Modern Healthcare's annual "100 Most Influential People in Healthcare" list is dominated by disruptors this year. Who's leading the charge?

The purchase of medical goods and services by employer health plans resembles no other business transaction in American commerce.

Experts have no shortage of innovative ideas to make health care more affordable. But what if part of the solution is bypassing insurance altogether?

Here are the five fundamental questions of pharmacy contracting your client should be able to answer when purchasing PBM services.

Fueled by a new round of funding, startup Bind is planning to test-drive its on-demand health care model with a handful of Fortune 500 companies.