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Reimbursement

By Susan Morse | 01:10 pm | April 29, 2016
Aetna expects its proposed $37 billion acquisition of Humana to close during the second half of 2016, Chairman and CEO Mark Bertolini said during an investor call Thursday while commenting on the insurer's first quarter financial results.
By Kaiser Health News | 09:53 am | April 29, 2016
Currently, doctors are paid for things such as tests, treatments and other procedures, but not necessarily for spending time with patients to learn more about their health or develop a treatment plan. Officials say the new payment program will change that.
By Kaiser Health News | 09:39 am | April 29, 2016
Administration officials moved Thursday to improve low Medicaid enrollment for emerging prisoners, urging states to start signups before release and expand eligibility to thousands of former inmates in halfway houses near the end of their sentences.
By Beth Jones Sanborn | 10:20 am | April 28, 2016
Drug companies Wyeth and Pfizer have agreed to pay $784.6 million to settle allegations that Wyeth did not provide the same drug discounts to Medicaid that it gave to private buyers, the U.S. Attorney's office announced Wednesday.
By Susan Morse | 06:51 pm | April 27, 2016
The more flexible Quality Payment Program for physicians is aimed at reducing the reporting burden and offers financial incentives.
By Jeff Lagasse | 03:30 pm | April 27, 2016
Patients in some states are paying more than double what those in other states pay for healthcare services, a recent study by the Health Care Cost Institute has found. In fact, even within single states, prices can vary widely.
By Susan Morse | 02:20 pm | April 27, 2016
Anthem's first quarter profit fell 18.7 percent from $865 million in the first quarter of 2015 to $703 million for the first three months of 2016, the company disclosed Wednesday.
By Susan Morse | 01:09 pm | April 27, 2016
New York state and seven health insurance companies have come to an agreement that ensures patients with chronic hepatitis C get coverage whether the members develop advanced signs of the infection or not, New York Attorney General Eric T. Schneiderman announced Tuesday.
By Kaiser Health News | 08:52 am | April 26, 2016
California legislators are attempting to clear the way for undocumented immigrants to buy health insurance through the state's insurance exchange -- potentially setting a national precedent.
By Susan Morse | 03:48 pm | April 25, 2016
While losses in the Obamacare exchange markets are chasing insurance giant UnitedHealthcare away, New England insurer Harvard Pilgrim Health Care says the exchange business is a major moneymaker.