Reimbursement

Outsourcing costs to vendors like CarePayment, ClearBalance offset by higher collections, executives say.

After legal battles and lobbying efforts, tens of thousands of people with hepatitis C are gaining earlier access to expensive drugs that can cure this condition.

Out-of-pocket expenses have dropped for employees while access to care has not suffered, executives say.

Obama administration is making a push to get young adults covered on the health insurance marketplaces, both for their own good and that of the marketplaces, which need healthy people to balance sicker ones in the risk pool.

Anthem and its pharmacy manager Express Scripts overcharged patients with job-based insurance for prescription drugs, alleges a lawsuit that seeks class action status for what could be tens of thousands of Americans.

In a recently released issue paper and in a study in the journal Health Affairs last year, the Urban researchers modeled the spending impact of two programs that each paid a $100 daily benefit, with a 3 percent annual inflation adjustment.

Risk adjustment transfers funds from issuers with low risk to plans with high actuarial risk.

Lower-than-expected enrollment in the new insurance exchanges, and significant insurer losses, have resulted in substantial premium increases and insurer withdrawals from state markets.

Blue Cross and Blue Shield of Minnesota projects a $500 million loss.

The new company will be able to offer health plans and providers a comprehensive suite of end-to-end financial and payment solutions and technologies, according to a McKesson statement.