Reimbursement

Drug costs increased more than 17 percent from 2013 to 2014, compared to a 3.3 percent increase in the total cost of claims, according to Medicare Part D data released by the Centers for Medicare and Medicaid Services on Thursday.

Some of the Affordable Care Act's insurance marketplaces are in turmoil as the fourth open enrollment season approaches this fall, but what's ahead for consumers very much depends on where they live.

The researchers analyzed data from more than 6.7 million people who filled prescriptions in January 2012 and followed their patterns of medication use and out-of-pocket spending through December 2014.

Experts are clashing over whether accountable care organizations have lived up to expectations, according to commentaries published in the Journal of the American Medical Association.

CEO Mark Bertolini claimed savings tied to the Humana merger would have helped it remain on the exchanges.

Centene's wholly-owned subsidiary Health Net has agreed to pay $340,000 for violating securities laws on whistleblower awards, the Securities and Exchange Commission announced Tuesday.

Buried in the fine print of many marketplace health plan documents is language that allows them to refuse to cover a range of services, many of which disproportionately affect women, a recent study found.

While telehealth is gaining ground as a way for healthcare providers to save money, concerns over the quality of care received still need to be ironed out, according to a new briefing from Health Affairs.

Citing over $600 million in losses and the lack of a federal safety net for the Affordable Care Act's high-risk pool, Aetna is exiting the exchange market in all but four states, Chairman and CEO Mark Bertolini said Monday.

Eighty-five percent of hospitals required to participate in the new Medicare cardiac bundled payment models will not experience gains or losses that exceed $500,000 per year, based on their current spending patterns, according to a new study by Avalere.