Reimbursement

One state's home-grown approach to health reform has produced a few discrepancies in the implementation of the Affordable Care Act, including one big dispute between insurers over risk-sharing.

Are the two biggest forces in American healthcare, health insurers and health systems, investing enough in research and development?

HHS said it wants 30 percent of payments for traditional Medicare benefits tied to alternative payment models such as ACOs or bundled pay arrangements by the end of 2016.

Cigna is acquiring a hospital-owned managed care company that serves a fairly diverse customer base of employers, providers and even potential competitors.

In a deal showing just how massive and pivotal the quest is for digital modernization, Anthem is investing half a billion in a flexible, scalable cloud.

Although we've heard "no more delays" from CMS before about the deadline for ICD-10 conversion only to see it postponed again, healthcare decision-makers should treat Oct. 1, 2015, as a set-in-stone launch date, industry analysts say.

Until corporate wellness programs demonstrate ROI, many companies have to consider whether there are other ways to improve the health of their employees and the country.

Will tax-filing season be the next reason for consumers to complain about the new health law? Come tax time, will the Obama administration really enforce the individual health insurance mandate?

The nation's third largest insurer is the latest to find a cheaper way to bring a curative therapy to members with Hepatitis C.

Republican asked the state Legislature to continue the private option for Medicaid through the end of 2016 to keep insurance coverage for more than 200,000 low-income residents.