Reimbursement

The government's repeal of the ACA's individual mandate has threatened stability already and the Robert Wood Johnson Foundation is projecting that fewer insurers will lead to higher premiums.

As Congress debates appropriations legislation with the Friday deadline looming, cost-sharing reduction payments and reinsurance face uphill battle for inclusion.

The insurer claims ER physician staffing firm is charging 'outrageous' rates, while Envision blames UnitedHealthcare for out-of-network charges.

The joint venture currently offers employers with employees in northern California self-insured commercial products with effective dates as early as April 1.

Arizona Care Network said the distributed digital ledger technology can help support contracts, deliver actionable data to clinicians, and make timely payments.

An electronic prescription drug monitoring program network would track controlled substance prescriptions in a state.

Arkansas Rep. Rick Crawford alleged CVS business practices created an emergency situation in his home state, calls for more scrutiny in merger deal.

Several industry associations call for provisions that would extend the market stabilization programs in the omnibus appropriations bill Congress is under a deadline to pass by Friday.

In the four years since Maryland implemented a statewide system of pushing hospitals to lower admissions, such savings are adding up to hundreds of millions of dollars for the taxpayers, employers and others who ultimately pay the bills, a new report shows.

The findings come as pay-for-performance programs are being scrutinized due to the absence of strong evidence that they actually improve care quality.