Reimbursement
Hutchinson, a Republican, has backed continuing the policy with a few conservative tweaks he negotiated with the Obama administration.
Lowe's home improvement company, like a growing number of large companies nationwide, offers its employees an eye-catching benefit: certain major surgeries at prestigious hospitals at no cost to the employee.
Some people with cancer, HIV and multiple sclerosis have better access to high-cost specialty drugs in marketplace plans this year, yet a significant proportion of these plans still place many expensive drugs in cost-sharing categories that require the highest patient out-of-pocket costs, according to a new analysis.
In addition to payments, CMS is proposing new assessment-based quality measures, and claims-based measures for inclusion in the quality reporting program.
Bowing to pressure from the hospital industry and Congress, the Obama administration on Wednesday delayed releasing its new hospital quality rating measure just a day before its planned launch.
A spokesman confirmed Nevada and Virginia would be among the states where it will retain a presence. In the past week, UnitedHealthcare said it would leave Georgia, Michigan, and Arkansas.
Bon Secours Health System and Eugene Y. Chang, MD, one of the system's surgical oncologists, will pay $400,000 to settle civil fraud allegations leveled against them in a whistleblower lawsuit filed by a former Bon Secours practice manager and one of Chang's former colleagues, the Department of Justice announced Monday.
UnitedHealth Group is exiting the Affordable Care Act markets in Michigan, Oklahoma and other areas citing a lack of profitability.
A single, coordinated approach to performance reporting is needed to make promised Medicare payment reforms work, the American Medical Association and other physician groups are expected to tell lawmakers Tuesday morning during a Subcommittee on Health hearing on Capitol Hill.
If UnitedHealthcare follows through on its threat to quit the health insurance marketplaces in 2017, more than 1 million consumers would be left with a single health plan option, an analysis released Monday forecasted.