Reimbursement

Blue Cross and Blue Shield of Illinois has developed accountable care organizations with three more provider-partners, bringing the total number of ACOs under the insurer to five, the insurer announced this month.

Walker said program would give states flexibility to close existing coverage gaps by having states manage high-risk pools. States could expand the pools, or pursue alternative approaches.

A doctor at a Brooklyn, New York, clinic was sentenced Friday to two years in prison for his role in a $13 million healthcare fraud scheme, according to the U.S. Department of Justice.

Remember the so-called death panels? When Congress debated the Affordable Care Act in 2009, the legislation originally included a provision that would have allowed Medicare to reimburse doctors when they meet with patients to talk about end-of-life care.

A new report shows $342 billion in taxpayer money is wasted each year in improper healthcare payments due to challenges in verifying benefit eligibility.

Many doctors who initiate the discussions often do so on their own dime.

As rural hospitals continue to struggle to stay afloat, the Kansas Hospital Association is hoping to persuade the Centers for Medicare and Medicaid Services to alter the way it reimburses so hospitals can focus more on outpatient and emergency services.

Most insurance plans established under the Affordable Care Act are losing money and may have difficulty repaying millions in loans, according to an audit report released by the Office of Inspector General.

Member enrollment also falls below projections, despite the jump in insured population nationwide.

Florida will audit 31 hospitals which failed to meet a deadline to certifying that their contracts with Medicaid managed-care plans comply with state law, according to Gov. Rick Scott's office.