Reimbursement
A federal judge in Connecticut temporarily blocked UnitedHealthcare (UHC) on Dec. 5 from dropping an estimated 2,200 physicians from its Medicare Advantage plan in that state.
In the 70 years since employer-sponsored insurance benefits have been exempt from taxes, the revenue lost to the federal government has run in the trillions of dollars. Now, with a federal tax code rewrite possible and another looming budget battle, the Congressional Budget Office wants lawmakers to rethink that so-called tax expenditure.
Blues in California and New Jersey are producing results by tracking measures that show they are improving quality in new models of care delivery.
Three state insurance exchanges are looking for new executive directors, amid problems with website functionality, modest turnout and contractor skirmishes.
Blue Cross Blue Shield of Michigan (BCBSM) has launched a value-based hospital reimbursement agreement that includes shared savings with Northern Michigan's Munson Healthcare.
In an effort to raise awareness of hospital price variation, the California Public Employees’ Retirement System and Anthem Blue Cross started a “reference pricing” initiative in 2011. It appears to be having an impact.
During the first eight months of this year, fewer than 18 percent of Medicare patients ended up back in the hospital within a month of discharge, the lowest rate in years, the federal government reported Friday.
Northern Michigan's Munson Healthcare and Blue Cross Blue Shield of Michigan are venturing into the developing world of new payment models by launching a value-based hospital reimbursement agreement.
America's medical cost inflation appears on track to fall even below 2013's trends, according to PricewaterhouseCoopers, although consumers are still bearing large cost burdens and other trends threaten the slowdown.
In one of the strangest Medicaid fraud cases in recent history, the Justice Department is charging several Russian diplomats and their families with illegally accessing Medicaid-covered prenatal and pediatric care in New York City.