Reimbursement
The federal government is ordering state Medicaid programs to pay for comprehensive autism services, but some details remain unclear.
As payers continue to look for the best ways to cover cancer treatment, a new study is lending support to the argument for moving away from hospital inpatient settings.
An insurance industry veteran who managed one of the few well-functioning state exchanges in the first open enrollment period is taking a key federal post.
A regional payer-provider dispute over costs and value is showing that troubles can arise amid efforts to design reforms and move away from fee-for-service.
The Affordable Care Act has given healthcare payers the opportunity to let Americans buy healthcare benefits in a whole new way: online. With a new open enrollment period right around the corner, the marketplace is changing how individuals think about and make healthcare insurance purchasing decisions.
While more payers and providers are trying to pursue value-based reimbursement models, some insurers are finding themselves fighting back against questionable fee-for-service schemes.
The federal government's employee advocate is trying to draw a line in the sand for wellness programs, and raising questions about the value and legality of some employers' incentive-based cost containment strategies.
The U.S. Department of Health & Human Services Office of Inspector General has issued two reports on implementation of the Affordable Care Act health insurance "marketplaces."
How much leeway do employers and insurers have in deciding whether they'll cover contraceptives without charge and in determining which methods make the cut? Not much, as it turns out, but that hasn't stopped some from trying.
Over a five-year period, five programs sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network to improve the quality of certain medical and surgical procedures performed in Michigan hospitals, have produced $597 million in healthcare cost savings, and have lowered complication and mortality rates for thousands of patients.