Reimbursement
The nation's largest nonprofit health system is quietly getting into the insurance game under the auspices of population health.
Proposal brings falling payments for insurers, potentially disruptive options for health systems.
Deal gives provider ability to participate in the state's health insurance exchange with its narrow network.
Department of Health and Human Services says plans lacking substantial coverage of hospital and physician services don't qualify as "minimum value" coverage.
Medicare Advantage reimbursement and regulatory changes are coming, along with new probes into risk adjustment practices that could lead to settlements and clawbacks.
The federal government is extending the exchange sign-up deadline, due to concerns about tax season confusion and subsidy mistakes for some 800,000 Americans.
While the new health insurance market is about as profitable as the pre-reform era for some large insurers, that is not the case for those like Assurant.
South Carolina might be an unlikely place from which to run a small healthcare empire, but the state's oldest health insurance company is doing just that.
Corporate wellness skeptics are out early this year, arguing that the data is squarely on their side and that simpler, laissez faire approaches could be more effective.
Salinas, California topped spending for all three procedures: $60,375 for a coronary stent placement; $57,990 for a total hip replacement; and $25,924 for a laparoscopic appendectomy.