Reimbursement

Vague statement by Joint Committee claims lawmakers are working on a replacement, though no details are released.

Despite a proliferation of digital health companies, payers, providers and patients have many unmet needs. The Pacific Northwest's oldest insurer is trying to help find new ideas, outside the industry.

With two-thirds of Massachusetts healthcare still paid via fee-for-service, the state's largest insurer wants to ply its HMO-grown variety of accountable care in PPOs. It's sure to challenge providers.

Too many consumers have learned the hard way that their credit rating can be tarnished by medical bills they may not owe or when disputes delay insurer payment.

The company that defined health insurance e-commerce is struggling in the new market, despite an attempt to sell subsidized health plans, and is now looking to Medicare.

The Department of Health and Human Services is being urged to add another qualifying event to the list of ways people can buy an exchange plan in a "special enrollment period."

Health insurers and American consumers might be spending more than ever for prescription drugs, but there are also more choices and more information to find value in a sea of volume.

In total, 37 people have pleaded guilty to scheme in which bribes were paid to doctors in return for referring patient blood specimens to Biodiagnostic Laboratory Services in New Jersey.

The Centers for Medicare & Medicaid Services on Tuesday announced a new model of accountable care organization that asks participating healthcare providers to take on the highest level of risk with the possibility of higher returns than any other CMS program.

Office of the Inspector General report said Medicare could have saved $4.1 billion between 2005 and 2010 if critical access hospitals were being paid for swing-bed skilled nursing services at the same rates as skilled nursing facilities.