Reimbursement

A lot of health insurers still have many miles to go on the road to parity for consumers seeking mental health and substance abuse treatment, patient advocates maintain.

New evidence from Massachusetts suggests that expanded health insurance may not bring the needed benefits of reduced hospitalization, and could spur a rethinking of cost-sharing for valuable primary care.

As the palliative care movement grows, more and more physicians feel that so much effort is spend trying to extend life that few focus on what patients want in their last days.

Even though consumers are digging deeper to cover rising out-of-pocket medical costs, they're contributing less to health savings accounts that could help take the sting out of their expenses.

The agency is also briefly delaying enforcement of the 'two midnight rule' until Senators have a chance to vote on the bill.

Consolidation is a fact of life in American business. In fact, some of our biggest industries--banking, retail stores, airlines--have been fundamentally reshaped by consolidation and the application of more competitive business models.

The perpetrators of an alleged Medicaid and Medicare fraud involving complimentary shoes and fake diagnoses could face 25 years in prison, as investigators across the country try to prevent or at least find fraud schemes that never seem to end.

Pennsylvania's largest insurer and newest integrated delivery network operator took a financial loss for the second year in a row, but that may actually help if scrutiny of its nonprofit status continues.

Uncertainty created by allowing the providers to go to court on reimbursement rates rather than petition the Center for Medicare and Medicaid Services would have been enough for states to block Medicaid expansion.

Can Anthem, the insurance giant famous for the for-profit Blues, "reconceive Medicaid as a care-delivery model rather than as an insurance program"?