Reimbursement

The corporate scions of American health insurance are making valiant, if risky, strides in the new ACA market. But their ratings still show the promise of their prowess.

Providers and patient advocates are deeply worried about a case that they say could restrict their ability across the country to seek judicial relief from low Medicaid reimbursement rates.

Medical bills are a major source of personal bankruptcy in the US. One reason is that hospitals typically bill uninsured patients wildly inflated "charges."

The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.

The first insurer to drop out of the Affordable Care Act exchange market after only a year is now trying to figure out where to go next.

The healthcare Twittersphere was riveted by Robert Pear's spotlight on Harvard professors up in arms about comparatively modest deductibles and copays added to their excellent health plan.

This year there are a lot of employment options, including public affairs gigs and management positions at provider-owned plans.

The Affordable Care Act may be guaranteeing health coverage for millions of Americans, but the definition of affordability is under dispute and raising questions about the burden on middle class consumers.

More affordability may be coming to the surging speciality pharmaceuticals space, as regulators move to approve the first generic-equivalent version of a biologic drug.

Lawyers for Seattle Children's Hospital and Texas Children's Hospital convinced a federal judge to temporarily block the enforcement of a Medicaid rule requiring private insurance reimbursement to be included in calculating their hospital-specific limits to these payments.