Reimbursement

There's good news and bad news in this forecast by Avalere Health of average premium increases in 2016 for health plans sold on ACA exchanges.

Far from being overtaken by a provider-led managed care movement, Molina is getting into the game.

The Portland-based company is making one of the most audacious forays into healthcare based on a vision of highly personalized, and tech-centered patient-centered healthcare.

Sallyann Johnson considers herself a pretty savvy healthcare consumer. When she fell and injured her hands and wrists, she didn't head for an expensive emergency room, choosing an urgent care clinic near her Milwaukee home instead.

In the Pacific Northwest, a new kind of health system, "with insurance built in," is trying to validate its primary care model and disrupt a seemingly competitive regional healthcare market.

Which hospital parents pick to deliver their baby can have serious cost consequences, according to a new study.

It's a situation that occurs all too often: Someone goes to the emergency room and doesn't learn until he gets a hefty bill that one of the doctors who treated him wasn't in his insurance network.

One fear is there will be added pressure to increase direct federal subsidies for additional exchange customers, possibly creating a new kind of entitlement program.

More Americans than expected opted out of the individual insurance mandate, including some who didn't even have to.

Ambitious diagnostics company will bring its low-cost blood testing to Medicaid patients.