Reimbursement
Self-funded employers with stop-loss coverage can breathe a sigh of relief now that the Internal Revenue Service finalized rules for new health insurance fees, but nonprofit HMOs banking on an exemption will have to pay up.
From 27,000 enrollments in October to a reported 100,000 enrollments in November, the Affordable Care Act's website is apparently working better and getting more people signed up.
But is it fixed well enough to handle the expected wave of at least many hundreds of thousands of people eager to get guarantee issue health insurance for the first time or replace a canceled policy by January 1?
Dorathy Senay's doctor had some bad news after her last checkup, but it wasn't about her amyloidosis. Her Medicare Advantage managed care plan from UnitedHealthcare/AARP is terminating the doctor's contract Feb. 1.
Medicare contractors overpaid a number of providers for a breast cancer drug, reimbursing for full vials rather than the administered dose -- a problem federal auditors think could plague other multi-use drugs in Medicare.
The Obama Administration has announced another Affordable Care Act delay, this time for small businesses shopping in federally-run insurance exchanges.
Patients with diabetes who received their heart medications by mail were less likely to visit the emergency room than those who picked up prescriptions in person, a study by Kaiser Permanente found.
HealthCare.gov, the government's hobbled health insurance website, is fixed and running smoothly, CMS officials announced Dec. 1 in a rare Sunday telephone news briefing.
After years of trying to clamp down on hospital spending, the federal government wants to get control over what Medicare spends on nursing homes, home health services and other medical care typically provided to patients after they have left the hospital.
Amid increasing provider integration, Connecticut Attorney General George Jepsen is putting pressure on health systems to embrace more transparency.
Cigna and Kaiser Permanente of California tied as the top insurers during the third quarter in health rewards company EveryMove's ranking of customer engagement.