Reimbursement

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."

For many Americans, $179 for $2,000 worth of cardiovascular disease screenings might be better spent on a good pair of shoes.

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.

Pennsylvania's smaller Blue-licensed insurer is boasting of some notable results in its accountable care arrangements and is looking to bring similar contracts to small primary care practices.

After $300 million, thousands of hours of labor and a few lost government careers, one of the biggest disappointments in progressive health policy has reached the end of the road.

After a fractious price battle with Blue Shield, Sutter Health is offering more patients a direct option through its own health plan.