Reimbursement

If Congress doesn’t act, starting on April 1, physicians who accept Medicare would get a 21.2 percent pay cut.

With two-thirds of Massachusetts healthcare still paid via fee-for-service, the state's largest insurer wants to ply its HMO-grown variety of accountable care in PPOs. It's sure to challenge providers.

Too many consumers have learned the hard way that their credit rating can be tarnished by medical bills they may not owe or when disputes delay insurer payment.

Exchange market leaders in 2014 may have had a large portion of their membership renew coverage, but a material portion may have higher monthly costs in 2015, which could change persistency rates.

The company that defined health insurance e-commerce is struggling in the new market, despite an attempt to sell subsidized health plans, and is now looking to Medicare.

The Department of Health and Human Services is being urged to add another qualifying event to the list of ways people can buy an exchange plan in a "special enrollment period."

For many Americans, $179 for $2,000 worth of cardiovascular disease screenings might be better spent on a good pair of shoes.

Health insurers and American consumers might be spending more than ever for prescription drugs, but there are also more choices and more information to find value in a sea of volume.

In total, 37 people have pleaded guilty to scheme in which bribes were paid to doctors in return for referring patient blood specimens to Biodiagnostic Laboratory Services in New Jersey.

The Centers for Medicare & Medicaid Services on Tuesday announced a new model of accountable care organization that asks participating healthcare providers to take on the highest level of risk with the possibility of higher returns than any other CMS program.