Reimbursement

Before the industry can cater to what the customer wants, it needs to determine just what that is, according to Anthem's David Poole, speaking at the conference for America's Health Insurance Plans Wednesday.

The federal push reflects the continuing concern over the nation's rate of unintended pregnancies, which is one of the highest among developed countries. The costs are significant not only for the families involved but also for the federal and state governments.

Payers are using advanced analytics to improve physician engagement and performance in accountable care arrangements and risk-sharing contracts.

Data shows that 24 million more people would become uninsured by 2021 if the Affordable Care Act is repealed following the 2016 election, according to a new report.

Policy changes tied to Medicaid could have a drastic effect on whether many hospitals have the financial viability to stay in business, the Kaiser Family Foundation said in a new brief published Thursday.

Next year's premiums for health coverage under the Affordable Care Act could rise more than in past years in most markets and declines might be rare, according to a preliminary analysis of insurers' plans.

Doctors responding to the survey are worried they will not have the technology, capital or staffing to survive.

The joint enterprise has been successful beyond anyone's expectations, according to Russ Mohawk, president and CEO of Health Plans and Population Health Services for the Inova Health System.

Disruptive innovation and the consumer experience are two themes that are emerging for this year's America's Health Insurance Plans Institute & Expo opening Wednesday in Las Vegas.

CMS is awarding $10 million over the next three years to organizations that will help clinicians transition to the new quality payment system outlined under MACRA.