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Reimbursement

By Susan Morse | 01:04 pm | November 19, 2015
UnitedHealth Group may exit the insurance exchange market, as the deterioration in product performance has weakened its financial outlook, the company said in an earnings update released Thursday.
By Healthcare Finance Staff | 12:54 pm | November 19, 2015
The State of Michigan on Tuesday denied a request by Henry Ford Health System's health plan to allow it to keep two regions, including Detroit, to its approved contract for the state's Medicaid program.
By Healthcare Finance Staff | 12:53 pm | November 19, 2015
Consumers have received more than $2.4 billion in Affordable Care Act premium rebates since 2011, but the number of people owed refunds by insurers decreased by more than a million this year compared to last, according to a report released Thursday by the Centers for Medicare and Medicaid Services.
By Susan Morse | 10:00 am | November 19, 2015
Week two of open enrollment saw another 500,000-plus consumers select plans in the federal marketplace, bringing the total for the first two weeks to over 1 million, according to the Centers for Medicare and Medicaid Services.
By Kaiser Health News | 08:57 am | November 19, 2015
Cancer patients shopping on federal and state insurance marketplaces often find it difficult to determine whether their drugs are covered and how much they will pay for them, the advocacy arm of the American Cancer Society says in a report that also calls on regulators to restrict how much insurers can charge patients for medications.
By Susan Morse | 03:31 pm | November 18, 2015
The State of Michigan on Tuesday denied a request by Henry Ford Health System's health plan to allow it to keep two regions, including Detroit, to its approved contract for the state's Medicaid program.
By Jessica Davis | 10:01 am | November 18, 2015
While some carriers may see the need to instate payment guidelines, the overwhelming majority of physicians surveyed cite administrative issues and a lack of billing services to address the need for reimbursement tools as a major detraction from implementing telehealth into their practices.
By Kaiser Health News | 09:55 am | November 18, 2015
Millions of consumers who are enrolled this year could pay higher rates if they stay in the same health plan next year, according to a study released Wednesday by the Kaiser Family Foundation.
By Healthcare Finance Staff | 02:20 pm | November 17, 2015
The goal is to increase the approximately 59 percent of Humana individual Medicare Advantage members who have primary care physicians participating in value-based relationships, to 75 percent by the end of 2017.
By Healthcare Finance Staff | 11:35 am | November 17, 2015
To encourage more people to sign up in Florida, Obamacare assisters are handing out flyers at food truck festivals, farmers' markets and health fairs.