Reimbursement

When the Harvard Business Review publishes an essay called "The Cure for the Common Corporate Wellness Program," you know the backlash is real.

Accountable care organizations saved more than $380 million after their first year, but only 29 were able to share in the savings.

A study of autoworker claims found that hospitals with the highest prices tended to have the strongest reputations and tight holds on their local markets yet showed little evidence of providing better quality care.

Colorado's new health co-op is claiming an early success on the road to its long-term enrollment goals and is the first exchange plan to report membership data.

Inconsistent Medicare Part B local coverage determinations (LCDs) create disparities in Medicare beneficiary access to items and services, a recent OIG report concludes.

South Carolina's Department of Health and Human Services has unveiled a new healthcare transparency website, offering digital tools state that officials hope will empower consumers and hold providers and health plans accountable.

The Congressional Budget Office has raised the specter that reform to the Medicare physician fee schedule statutory update formula could increase the likelihood that the ACA's Independent Payment Advisory Board mechanism would be triggered potentially resulting in as much as $0.6 billion in Medicare provider cuts.

A new study of insurance claims at 110 hospitals found that facilities with the highest prices tended to have the strongest reputations and tight holds on their local markets yet showed little evidence of providing better quality care.

Covered California has unveiled health plan quality ratings to help guide insurance shoppers, ahead of most other states and the federal government.

WellPoint reported that fourth-quarter 2013 earnings fell nearly 68 percent on higher costs related to the sale of its contact lens business, but revenues rose on increased use of medical services towards the end of the year.