Reimbursement

Thousands of families with a disabled or deceased parent may have received a lower subsidy than they deserved to buy health coverage through the federal insurance marketplace as a result of a calculation error by the federal government.

Seven hundred million people worldwide have obtained access to financial services for the first time over the past three years, according to a Gates Foundation funded institute.

Add Tennessee and Kansas to the list of states that have been warned by the Obama administration that failing to expand Medicaid under the Affordable Care Act could jeopardize special funding to pay hospitals and doctors for treating the poor.

It's a network war with Midwest manners, but Nebraska's largest insurer and health system still have miles to go before a resolution. The impasse may be hurting one organization more than the other.

Consumer advocates and an activist insurance commissioner in California are renewing a push for premium review authority, while the state exchange is moving ahead with its own version of active purchasing.

The problem is that sometimes Medicare pays for care outside the hospice benefit that it already paid hospice to cover.

For Humana, the national insurer with the most Medicare Advantage members, retail health clinics are out of the integration strategy, but home care is very much in.

Illinois' largest health insurer is building out its accountable care network, even as some of the health system partners are consolidating.

Centers for Medicare and Medicaid Services plans to keep program in place that penalizes hospitals that showed too many medical errors.

Taking a cue from car manufacturers and cell phone companies, some providers are starting to see value in guaranteeing a standard for quality and costs.