Reimbursement

American Hospital Association is urging HHS to take measures to stabilize the Affordable Care Act's marketplaces, saying some insurers' decisions to exit put consumers' access at risk.

Programs substantially cut the risk of dying from another cardiac problem, improve quality of life and lower costs; less than one-third of patients whose conditions qualify for the rehab actually participate.

Mylan CEO Heather Bresch calls new option "an extraordinary commercial response" following rising backlash from public, lawmakers on price hike.

Patient advocates have argued that follow-up colonoscopies should be provided without cost sharing by patients; awareness can help patients prepare for facility fees.

Legislation also would require the nation's first minimum nurse-to patient staffing ratios in observation care units.

Middle-class people in Medicaid expansion states fared better with insurance premium costs than those in non-expansion states. That's the word from a new study by the Department of Health and Human Services.

To be successful in the Medicare Shared Savings Program, a provider has to participate in value-based care across the health system. That's according to the CMO of one that earned the third largest total savings in its third year in the program.

Humana is leaving the Obamacare marketplace in Utah, the state's Department of Insurance confirmed Friday.

Report describes steps states can take to address a number of drug-coverage issues in the commercial insurance market.

A whistleblower case believed dead involving claims of inflated Medicare Advantage risk scores has been resurrected by a federal court.