Reimbursement

Parents who say their children with autism are legally entitled to applied behavioral analysis -- or ABA -- treatment are butting heads with Texas officials. And without Medicaid coverage, they must either forgo the therapy or find a way to pay for individual insurance plans that help pick up the costs.

New research published Wednesday found that states that legalized medical marijuana -- which is sometimes recommended for symptoms like chronic pain, anxiety or depression -- saw declines in the number of Medicare prescriptions for drugs used to treat those conditions and a dip in spending by Medicare Part D, which covers the cost on prescription medications.

Proposal would eliminate any potential financial pressure clinicians may feel to over-prescribe pain medications, especially opioids.

A new study takes a fresh measure of generic drugs' price advantages, revealing how much more Medicare Part D patients shelled out in copayments for two popular brand-name drugs in 2013. The result: 10.5 times more.

HHS said consumers could buy fixed indemnity insurance thinking they were getting comprehensive coverage.

Outsourcing costs to vendors like CarePayment, ClearBalance offset by higher collections, executives say.

After legal battles and lobbying efforts, tens of thousands of people with hepatitis C are gaining earlier access to expensive drugs that can cure this condition.

Out-of-pocket expenses have dropped for employees while access to care has not suffered, executives say.

Obama administration is making a push to get young adults covered on the health insurance marketplaces, both for their own good and that of the marketplaces, which need healthy people to balance sicker ones in the risk pool.

Anthem and its pharmacy manager Express Scripts overcharged patients with job-based insurance for prescription drugs, alleges a lawsuit that seeks class action status for what could be tens of thousands of Americans.