Reimbursement

CenseoHealth accused of targeting those MAO plan members who were likely to yield the most serious diagnoses, and more likely to generate higher capitation payments.

Multiple bidders were involved in the deal.

The Centers for Medicare and Medicaid Services said it will delay releasing data on its risk corridor ratios for insurers participating in health insurance exchanges after it found several discrepancies in the data.

The Centers for Medicare and Medicaid Services said it will delay releasing data on its risk corridor ratios for insurers participating in health insurance exchanges after it found several discrepancies in the data.

Internal controls are lacking when it come to setting an individual's eligibility for tax credits and cost sharing reductions for health plans bought through Healthcare.gov, according to a new report by the Office of the Inspector General.

Deficiencies included improper verification of Social Security numbers, citizenship, annual household income and family size.

Two major deals that would result in top commercial insurance companies merging into their competitors has roiled the leadership of the American Hospital Association.

The last and perhaps most controversial piece of health reform's universal coverage has many miles to go in terms of financial sustainability. But there are signs of progress.

With Anthem set to buy Cigna and Aetna buying Humana, AHA executives sent a letter last week to the Department of Justice's antitrust division over concerns that consolidation among those largest payers could spell disaster for competition.

Iowa's governor, Republican Terry Branstad, is moving full speed ahead with a plan to put private companies in charge of managing Medicaid's services.