Reimbursement

The first insurer to drop out of the Affordable Care Act exchange market after only a year is now trying to figure out where to go next.

The healthcare Twittersphere was riveted by Robert Pear's spotlight on Harvard professors up in arms about comparatively modest deductibles and copays added to their excellent health plan.

This year there are a lot of employment options, including public affairs gigs and management positions at provider-owned plans.

The Affordable Care Act may be guaranteeing health coverage for millions of Americans, but the definition of affordability is under dispute and raising questions about the burden on middle class consumers.

More affordability may be coming to the surging speciality pharmaceuticals space, as regulators move to approve the first generic-equivalent version of a biologic drug.

Lawyers for Seattle Children's Hospital and Texas Children's Hospital convinced a federal judge to temporarily block the enforcement of a Medicaid rule requiring private insurance reimbursement to be included in calculating their hospital-specific limits to these payments.

Medicaid-focused managed care company Centene is adding to its portfolio a data-drive health engagement platform, a sign of the increasing interest in wellness for both commercial and publicly-insured populations.

Amid a fractious public dispute with its chief rival, Highmark and its health system are making a community investment that, though unlikely to turn a profit, may reap returns in loyalty and reputation.

Competition for treating America's hepatitis C population is intensifying among pharmaceutical companies and benefits management firms, suggesting a thaw in the $1,000 per-pill price of last year's blockbuster.

Managed care organization Health Net Inc. said this week that it has formed an accountable care organization with John Muir Health, bringing together a network of medical centers and physicians to cover three counties in California.