Reimbursement

The term "value-based" insurance might strike average consumers as a bit odd: Shouldn't all insurance be value-based?

Community health centers will pay a steep price for states' decisions not to expand Medicaid under the federal health law.

The chief architect of the Genetic Information Nondiscrimination Act is asking the Equal Employment Opportunity Commission to investigate the use of genetic data in wellness programs and offer compliance guidance -- while large employers are hoping for more flexibility in tying incentives to genetic screening.

Blue Cross Blue Shield of Michigan has launched an initiative using claims data to help hospitals across the state better understand their practice patterns compared with their peers, in an effort to improve patient outcomes and manage costs.

Some Medicare Advantage plans are responding to continued payment reductions under the Affordable Care Act by decreasing the number of plans and options available in 2014.

Excellus BlueCross BlueShield is withdrawing from New York's Medicaid managed care program amid steep losses.

Patient outcomes and effective changes in healthcare delivery are taking a greater role in physician executive pay in addition to financial performance. The median total compensation of physician executives increased 7 percent to $325,000 in 2013 from $305,000 two years ago.

The pharmaceutical industry's movement to regulate quasi-generic versions of specialty biologic drugs hit a roadblock in California, giving a reprieve to some health stakeholders, including CalPERS, calling for competition in the nascent "biosimilars" market.

Maine providers and payers are experimenting with medical home policies, trying to bring them statewide without a regulatory hand, as part of a state innovation model program.

Small businesses in California will face self-funding rules in 2014 under a new law regulating an option more and more employers have been embracing.