Reimbursement

The insurer-owned Allegheny Health Network is partnering with a national cancer center to offer new therapies and trials in western Pennsylvania, a sign of heightening regional competition and the emergence of new models for pursuing innovative treatments.

The growth of total U.S. medical costs is slowing down, but one segment is expanding fast enough to catch insurers by surprise.

The Office for Civil Rights, the HHS division responsible for enforcing HIPAA, is slated to get a new director after the official departure of Leon Rodriguez.

As the final chapter of WellCare's fraud saga closes, the company is lining up new executives and trying to grow.

The Centers for Medicare & Medicaid Services issued a proposed rule Tuesday that would reduce Medicare payments to home health agencies by $58 million next year and hinted at changes to come.

A patient-centered medical home program with a physician-owned, multispecialty group has been so promising that Aetna is extending the arrangement.

Two years after upholding most of the Affordable Care Act, the U.S. Supreme Court has carved out a new religious exemption for employers, once again bringing women's health into the political fray and potentially adding new complications to group insurance.

The prospect of a near-duopoly healthcare market is becoming a reality, and only time will tell if two giant closed networks are good for both patients and business.

A regional patient-centered medical home demonstration is appears to be prime for expansion of Medicare members.

In an effort to survive and thrive in the transition to value-based payment models, New Jersey's Hackensack University Medical Center launched an experiment, which, so far, looks promising.