Reimbursement

So-called "skinny plans" aren't allowed, but insurance administrators and many cost-conscious employers are purporting to meet the rules with a new version that excludes another major category: outpatient surgery.

Health insurer Centene Corp. on Monday said it has lost six hard drives containing the health information of about 950,000 beneficiaries.

Deficiencies found in an audit of Cigna-HealthSpring operations has prompted the Centers for Medicare and Medicaid Services to temporarily bar Cigna from enrolling new customers to its Medicare Advantage and stand-alone prescription drug plans, and from marketing efforts, according to CMS.

Some consumers who buy coverage on the health insurance marketplaces in 2017 could see their out-of-pocket costs drop significantly under a federal proposal to create standardized plans, a recent analysis found.

Open enrollment for week 11 ended with close to 400,000 consumers signing up for healthcare coverage, a number four times greater than the week before, according to figures from the Centers for Medicare and Medicaid Services.

Pennsylvania Insurance Commissioner Teresa Miller was the latest state official to propose protections for healthcare consumers against surprise balance bills, when she announced new measures on Tuesday.

When patients need an air ambulance, the first priority is getting them the care they need as fast as possible. So, patients don't always know who is going to pick them up or if the ambulance is an in-network provider.

Pennsylvania Insurance Commissioner Teresa Miller was the latest state official to propose protections for healthcare consumers against surprise balance bills, when she announced new measures on Tuesday.

Thirty-five percent more people than last year have enrolled for their employer-sponsored healthcare benefits on private online marketplaces, according to a new report from global consulting and technology firm Accenture.

Thirty-five percent more people than last year have enrolled for their employer-sponsored healthcare benefits on private online marketplaces, according to a new report from global consulting and technology firm Accenture.