Reimbursement

Many insurers are adopting comprehensive telehealth coverage, setting the ball rolling for others to follow suit.

Of all the new cooperative insurers, the one led by a Blue Cross veteran attracting droves of exchange and employer members might seem the least likely to fail. Now the success of every co-op will be in question.

The reimbursement for this procedure has declined significantly over the years as it has reached its maturity. However, there are over 20.5 million Americans 40 years old and older who are affected by cataracts, so a need remains.

As 2014 winds down, we've taken a look back at some of the biggest stories in healthcare finance in the past year. See what you may have missed.

The bonus boosted pay rates for primary care doctors who saw Medicaid patients to the same level as they are paid by Medicare.

The number of accountable care organizations in Medicare's Shared Savings Program will grow by 89 in January 2015, the Centers for Medicare and Medicaid said this week, boosting the total participants to 405. Medicare ACOs will now serve more than 7.2 million patients.

In the war for affordably treating the hepatis C liver virus, pharmacy benefits managers are fighting back now that alternatives are becoming available.

As the second largest health insurer formerly known as WellPoint nurtures the new corporate Anthem brand, it's also continuing to grow its presence in the government-funded health plan space.

Deep inside the massive 2015 federal budget are provisions that could rattle the insurance industry as a whole, while also benefiting a few.

Despite failing to win rate rejection authority from voters in November, one insurance commissioner is trying to protect the market by other means, calling out carriers for what are deemed to be "unreasonable" rate increases.