News

The Centers for Medicare & Medicaid Services has a lot of data on Medicare Advantage plans that it should be using to inform policy and make available to the public, according to a new Inspector General report.

Aetna is partnering with one of the largest medical device makers in an experiment for struggling diabetic members and their doctors.

Colorado is moving ahead with an experiment for Medicare-Medicaid eligible beneficiaries, or "dual-eligibles," using a payment system many others are trying to abandon. But the state's approach incorporates a variation on the concept of the accountable care organization that's showing promise elsewhere.

With the wellness movement reaching ever more workers, more advanced digital health and wearable technologies are going to be a necessity if the field is going to evolve and start making inroads, some argue.

As more focus is placed on value rather than volume, employers of physicians are changing their physician compensation models.

In light of the cadre of reform measures reverberating through the healthcare industry, hospitals are responding to the pressure by changing up their budgeting formats.

While most of the new individual health plans are being purchased through public insurance exchanges with tax credits, many consumers are also turning to private exchanges.

A large group of health, pharma and payer organizations are hoping to stop what some think are the most pernicious changes to Medicare Part D in the program's history.

The number of people determined eligible for Medicaid since the launch of new insurance marketplaces is approaching 10 million, a potential boon to managed care plans and safety providers even in states that are not expanding the program.

There's still plenty of work to do before the Oct. 1 ICD-10 deadline. A recent study found that only 4.8 percent of physician practices reported significant progress in overall ICD-10 readiness. Hospitals report higher levels, but many are still behind.