Reimbursement

While prices have increased everywhere, the rate of increase was much lower at hospitals in states using the site.

The Centers for Medicare and Medicare Services has extended the contract with four private companies it previously hired to track down, remedy and often recover improper Medicare payments.

The regulator of the nation's largest state market is taking a proactive, interventionist stance on the still fractious issue of network adequacy.

In the fourth quarter of the Obama Administration, the nation's chief trade regulators are promising a healthy dose of scrutiny for the continuing waves of healthcare provider mergers and acquisitions.

For 25 years I've been saying that I wished a little state like Vermont would implement a single-payer Canadian-style health insurance system -- "Medicare For All." I have always thought that this debate will never be settled until a state gives it a shot and everybody witnesses the result.

One of the Midwest's largest Blues is winning in the new insurance market under the Affordable Care Act, without yet selling a public exchange plan.

Two of Medicaid's top leaders are leaving the federal government, opening vacancies for chief regulatory positions amid a booming period of evolution in the program.

Extending the ICD-10 transition another 12 months has been significant -- estimated in the millions.

Donna Giron is frail. She has Crohn's disease and uses a wheelchair to get around because walking exhausts her. But she doesn't want to be in the nursing home where she has lived since May.

A mapping of the new individual market's variation in premium regulation show the evolution of a national market at once attempting to be standardized and amenable to state approaches.