Reimbursement

Recent court decisions in Michigan are making the issue of public employee benefits restructuring even more murky for states and local governments, and potentially adding more reasons for the Supreme Court to weigh in.

An analysis of new Medicare data provides a look at how the nation's hospitals are doing with all-cause, unplanned readmissions.

Hospitals and health systems will face ever more pressure in 2014 to establish the core skills needed to thrive in a rapidly changing healthcare market.

More than 10,000 Colorado state employees have participated in wellness activities in a health incentive program since July, with one half of them having completed a health risk assessment.

Nearly four years after President Barack Obama signed the Affordable Care Act into law promising the biggest expansion of health care coverage in half a century, the public remains deeply split over it.

The Department of Health and Human Services is getting ready to enforce the Affordable Care Act's attempts to reduce administrative costs, with proposed regulations of health plans.

Even as total Medicare Part D spending grows, generic competition and copay variation have yielded a sustainable rate of per capita cost growth, according to federal Medicare researchers.

As new federal market stabilization programs start, many regulators and insurers are preparing for a new model of risk management: "when adverse selection isn't."

A critical best practice for building an exchange that can operate as expected on day one was learning to say "no," according to the experience of the executives leading the Connecticut and District of Columbia health insurance marketplaces. 

Pennsylvania is asking the federal government to experiment with a range of healthcare delivery and payment reforms, and Medicaid is being eyed as a good fit for the patient-centered medical home.