Reimbursement

The former chief financial officer of a now-closed Texas hospital is one step closer to a potential five years in federal prison after pleading guilty to wrongly claiming EHR incentive money.

The Sunshine State's largest health insurer is betting on a well-branded telehealth service with a retail experience.

A tension between transparency and trade secrets has surfaced in North Carolina, where the state's largest insurer believes a new disclosure law will have unintended consequences.

The Obama administration took another step to close what many see as a health-law loophole that allows large employers to offer medical plans without hospital coverage and bars their workers from subsidies to buy their own insurance.

Earlier this month, CMS published its final rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for 2015. Here are the highlights.

An Arkansas Medicaid expansion policy may be threatened as new leadership heads to the state capital, despite early reports that show the program is benefiting low-income patients and hospitals alike.

A group of Wall Street analysts predicted Friday that enrollment in Affordable Care Act insurance plans will be higher than the 9 million projected by the Obama administration.

The Medicaid private option policies designed to insure low-income individuals through a more market-based system is showing early signs of success, but also hurdles.

While narrow networks aren't new, they have emerged as one of insurers' major levers for keeping costs down under the Affordable Care Act. Patients are often distressed at narrow networks' restrictions, but such plans can be designed right.

Just days before the Affordable Care Act's marketplaces reopened, nearly a quarter of uninsured said they expect to remain without coverage because they did not think it would be affordable, according to a poll released Friday.