Reimbursement

New York City Mayor Michael Bloomberg wants to competitively bid the city government's health plan contract for the first time in 15 years -- an announcement that seems to have prompted the current insurer to curtail proposed rate increases.

Florida's Insurance Commissioner has released a list of approved health plans that will be sold in the state's federally-run exchange and in the open market -- with an average premium increase of 39 percent.

Medicare will levy $227 million in fines against hospitals for failing to reduce readmissions.

A recent Consumer Reports analysis rating U.S. hospitals on surgical care has found that the biggest and most renowned hospitals aren't necessarily the best.

A recent Consumer Reports analysis rating U.S. hospitals on surgical care has found that the biggest and most renowned hospitals aren't necessarily the best.

The House Energy and Commerce Committee has approved unanimously legislation to repeal and replace the sustainable growth rate (SGR) formula, moving another step closer to a more stable Medicare physician payment system based on delivering quality and efficient care instead of 11th-hour fixes.

Since 2006, Washington State has had its own sort of Independent Payment Advisory Board for public health payers: the Health Technology Assessment Program.

Major payers who announced second-quarter earnings shared profits that exceeded expectations, lower medical costs and a raised outlook for the year.

A former SCAN Health Plan employee's allegations of Medicare Advantage fraud against several insurers and HMOs were deemed too vague by federal judge.

New care and payment models are compelling healthcare provider organizations to seek heath information exchange solutions to help manage shared payment risk and joint responsibility for patient and population outcomes, according to a new report from Chilmark Research.