Reimbursement

One patient got a $3,660 bill for a 4-mile ride. Another was charged $8,460 for a trip from one hospital that could not handle his case to another that could. Still another found herself marooned at an out-of-network hospital, where she'd been taken by ambulance without her consent.

Consumers coping with the high cost of health insurance are the target market for new plans claiming to be lower-cost alternatives to the Affordable Care Act that fulfill the law's requirement for health coverage.

A total of 30 rural hospitals are taking part in the budget neutral program that pays higher Medicare rates.

New proposed rule offers insurers more plan flexibility and eases regulations.

Some would pay as much as $1,000 for genomic sequencing offered through employer health plans.

Advanced payment models should qualify as downside risk for advanced APMs under MACRA, AHA says.

Massachusetts wants the power to negotiate discounts for the drugs it purchases and to exclude drugs with limited treatment value.

Anthem Blue Cross and Blue Shield and Hartford Healthcare enter new three-year agreement retroactive to October 1.

Denver-area hospitals alone brought in a net income in 2016 of $1.3 billion, ACA helped boost payer performance, report said.

Hospitals challenged CMS after the agency gave a 0.2 percent downward adjustment to inpatient payment under the two-midnight rule.