Reimbursement

While Congress weighs the sustainable growth rate repeal, insiders have taken to Twitter to voice support for the overdue change.

Insurers in New York are agreeing to reform their policies for behavioral healthcare treatment and rehabilitation coverage, after an "unprecedented enforcement effort of mental health parity laws."

It turns out that most providers who prescribe antipsychotic medications are not psychiatrists.

At issue is whether the company is doing anything different from its for-profit competitors to warrant its tax break.

The audit, for years 2011 and 2012, covered $48 million in Medicare payments to the hospital for 7,506 claims potentially at risk for billing errors.

It's turning out to be a problematic year for health insurance IT management. Another Blue Cross insurer company has been hacked, and this time it seems that subscriber medical information was exposed.

Facing scrutiny over executive compensation, reserves and premiums, California's third largest insurer is under pressure to justify its state tax exemption, and state finance authorities wants to start collecting.

In its annual recommendations to Congress on Medicare policies, the Medicare Payment Advisory Commission recommends a 3.25 percent update to inpatient and outpatient hospital payment rates for 2016, as well as repeal of the Sustainable Growth Rate (SGR) methodology for physician services.

In a new customer experience survey, health insurers are just above the bottom, perhaps in part because the nature of the service and the industry's legacy. But some still came ahead with positive reviews.

A total of 16.4 million non-elderly adults have gained health insurance coverage since the Affordable Care Act became law five years ago this month, a "historic" reduction in the number of uninsured.