Reimbursement

Aetna and St. John Health System in Oklahoma on Thursday said it will launch the Aetna Whole Health St. John OKHI network, a value-based reimbursement partnership that hopes to result in lower overall out-of-pocket costs for patients in the network.

Template includes coverage examples that demonstrate cost sharing amounts.

According to a recent Health Affairs report, federal and state marketplaces would do well to nudge consumers toward health plans that result in the best fit for the individual.

Giving exchange consumers concise information on the medical benefits and overall ratings of a health plan makes them more likely to select a higher-quality product, according to a new Health Affairs report.

Despite recent attention to rising pharmaceutical prices, a new study claims the total costs of treating patients with cancer in the United States have risen no faster than overall costs for Medicare and commercial insurance in the past decade.

The total 3.05 percent rate is less than the total 3.55 percent CMS proposed in February.

A majority of Americans, between 58 and 71 percent, don't see price and care as intricately linked, according to findings published in Health Affairs. However, a substantial minority, 21 to 24 percent, believe there is some correlation. Eight to 16 percent said they didn't know.

UnitedHealthcare is betting $65 million that it can profit by making primary care more attractive.

While healthcare provider directories have always been hard to maintain, new regulations can mean costly fines if insurers fail to keep accurate, up-to-date information on the physicians who are in their health plans.

Starting April 1, the Centers for Medicare and Medicaid Services will pay an estimated 800 hospitals across 67 metro areas bundled payments for inpatient knee and hip surgeries.