Reimbursement

Legislation also would require the nation's first minimum nurse-to patient staffing ratios in observation care units.

Middle-class people in Medicaid expansion states fared better with insurance premium costs than those in non-expansion states. That's the word from a new study by the Department of Health and Human Services.

To be successful in the Medicare Shared Savings Program, a provider has to participate in value-based care across the health system. That's according to the CMO of one that earned the third largest total savings in its third year in the program.

Humana is leaving the Obamacare marketplace in Utah, the state's Department of Insurance confirmed Friday.

Report describes steps states can take to address a number of drug-coverage issues in the commercial insurance market.

A whistleblower case believed dead involving claims of inflated Medicare Advantage risk scores has been resurrected by a federal court.

Physicians' concern is that the new payment system will put doctors in solo or small practices at high risk of incurring payment penalties and will push thousands into larger practices and alternative payment organizations.

Any premium increases would be offset by comparative shopping and tax credits, says Department Health and Human Services.

Lawmakers are imploring Mylan Pharmaceutical, the manufacturer of EpiPens, to scale back price increases that have seen the cost of the life-saving emergency allergy treatment swell from $100 to $600 per package, according to published reports.

Employees are paying more for out-of-network care, ER visits while employers pay less, survey says.