Reimbursement
Drug companies Wyeth and Pfizer have agreed to pay $784.6 million to settle allegations that Wyeth did not provide the same drug discounts to Medicaid that it gave to private buyers, the U.S. Attorney's office announced Wednesday.
The more flexible Quality Payment Program for physicians is aimed at reducing the reporting burden and offers financial incentives.
Patients in some states are paying more than double what those in other states pay for healthcare services, a recent study by the Health Care Cost Institute has found. In fact, even within single states, prices can vary widely.
Anthem's first quarter profit fell 18.7 percent from $865 million in the first quarter of 2015 to $703 million for the first three months of 2016, the company disclosed Wednesday.
New York state and seven health insurance companies have come to an agreement that ensures patients with chronic hepatitis C get coverage whether the members develop advanced signs of the infection or not, New York Attorney General Eric T. Schneiderman announced Tuesday.
California legislators are attempting to clear the way for undocumented immigrants to buy health insurance through the state's insurance exchange -- potentially setting a national precedent.
While losses in the Obamacare exchange markets are chasing insurance giant UnitedHealthcare away, New England insurer Harvard Pilgrim Health Care says the exchange business is a major moneymaker.
Current physician payment models are placing too much pressure on managers to convert quickly to value-based payment, a new report by the Alliance of Community Health Plans claims. Initiatives should more gradually impose risk models so that practices have time to make the needed investments.
Beginning in 2019, insurance companies that contract with the exchanges must either exclude from their networks any hospital that doesn't meet the federal government's 2020 target C-section rate or explain why they aren't, according to the new contract approved by the Covered California board.
Health insurance giant Aetna has declared victory in a years-old lawsuit against Bay Area Surgical Management, after a civil jury slapped the California medical group with a $37.4 million dollar judgement, Aetna said.