Reimbursement
A group of retired Saginaw, Mich., city government workers are suing the city over efforts to consolidate their health benefits plans, and in some cases raise their out-of-pocket costs.
Proposed changes to the Medicare home health prospective payment system (HH PPS) will save the government approximately $290 million but the resulting cuts have home health agencies concerned.
UnitedHealthcare is exiting California's individual market, leaving about 8,000 customers who'll have to find new coverage by the end of the year.
Blue Cross and Blue Shield of Georgia (BCBSGa), the state's largest insurer, will use SoloHealth's network of health and wellness consumer kiosks as a tool to engage its members where they shop and attract new members.
The Department of Health and Human Services has awarded a large contract for insurance exchange eligibility management to the U.K. firm Serco, although some Wall Street analysts expect the decision to be protested by American contractors.
The individual and employer mandates, foundations of the Affordable Care Act, were first enacted in Massachusetts in 2006 -- and the employer mandate especially could have been challenged under the federal Employee Retirement Income Security Act (ERISA).
Insurer Highmark and its provider partner Allegheny Health Network will invest $11 million in the creation of the Disruptive Health Technology Institute at Carnegie Mellon University, in a collaboration to come up with breakthroughs to make health care more affordable, simplified and accessible.
A study comparing hospital costs for one of the most common surgeries suggests that it's more expensive when paid for by workers' compensation than by group insurance.
Patient engagement and accountable care mean payers and providers have to collaborate on change and also to help patients rethink health and health care -- including death and the quest for a good one.
The Obama administration on June 26 issued a final rule allowing all American Indians and Alaska Natives who are eligible to receive services from an Indian healthcare provider to receive an exemption from the shared responsibility payment if they do not maintain minimum essential coverage under the Affordable Care Act.