Reimbursement

Despite the hassle of auto-cancellations, many home healthcare agencies find it difficult to keep track of their requests for anticipated payment.

Under pressure from the industry and Congress, the Centers for Medicare & Medicaid Services is withdrawing several proposed changes to the Medicare drug program, but still charging ahead with others that could prove disruptive.

The federal government's latest health reform tweaks could complement or disrupt the transition to new insurance marketplaces, depending in part on how consumers fair in the last month of open enrollment.

After a one year delay, the federal government is giving states a framework to create insurance programs for low-income residents earning above the Medicaid eligibility threshold, potentially encouraging more experimentation with public payer policies.

While many states have been challenged to expand their insured populations in ways encouraged by the Affordable Care Act, Ohio and Kentucky have leveraged their distinctive political and business climates to find early success.

Some states have found practical success in establishing the Affordable Care Act, but what distinguishes their efforts are their unique fit within each state's distinctive political and business climates.

Humana is naming a healthcare outsider as its next chief innovation officer, just as executives are looking for breakthroughs from recent acquisitions.

The Centers for Medicare & Medicaid Services' proposal to mandate broader provider networks in public insurance exchanges could have the unintended consequence of discouraging insurer participation, according to analysts at Moody's.

A new federal regulatory proposal to ensure adequate insurance networks could help not-for-profit hospitals, Moody's said in a briefing released this week.

The administration has confirmed that the individual policies that were supposed to be cancelled because of Obamacare can now remain in force another two years.