Reimbursement
Under the health law, health plans are required to cover preventive services that are recommended by the U.S. Preventive Services Task Force, a nonpartisan group of medical experts, without charging consumers anything out of pocket.
The medication therapy management model is being tested in five regions as an incentive to boost adherence for stand-alone Part D plans not connected with Medicare Advantage.
America's Health Insurance Plans on Wednesday called former Secretary of State Hillary Clinton's stance against major insurance company consolidation misguided, and suggested that the presidential candidate focus on other issues plaguing healthcare instead.
A key strategy for Medicare is encouraging doctors, hospitals and other health care providers to form accountable care organizations (ACOs) to coordinate beneficiaries' care and provide services more efficiently.
America's Health Insurance Plans on Wednesday called former Secretary of State Hillary Clinton's stance against major insurance company consolidation misguided, and suggested that the presidential candidate focus on other issues plaguing healthcare instead.
CMS has approved Dartmouth-Hitchcock's application for Next Generation and will receive its dollar target this fall. That will determine whether they sign the contract.
Aetna said it expects the transaction will be completed in the second half of 2016 pending conditions, federal review and regulatory approval.
Millennium Health of San Diego has agreed to pay $256 million to the federal government to resolve claims that it billed Medicare, Medicaid and other federal healthcare programs for medically unnecessary urine drug and genetic testing, according to the U.S. Department of Justice.
The governor and state lawmakers are using a mixture of healthcare models to put the major players -- doctors, hospitals and insurers -- all on the hook to keep rising costs in check.
'Surprise medical bill' law forcing disclosure of insurance coverage being enforced at New York urg…
Four companies running urgent care centers in New York have agreed to disclose more fully which insurance plans they accept, following an inquiry by the state's attorney general that found unclear or incomplete information on their websites that could result in larger-than-expected bills for consumers.