Reimbursement
Insurance exchange shoppers in 30 states will be able to find at least one health plan operating as both a private insurer and a Medicaid managed care plan -- a good option for lower-income consumers with fluctuating earnings and a solution to the long-time problem of "churn."
After years of decline, enrollment in Texas HMOs has increased 10 percent in each of the last two years, driving strong profits, according to the Texas Health Market Review 2013, an analysis of insurers and hospitals systems operating in the state.
President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.
According to a new report by Moody's Investors Service, the health insurance exchanges mandated by the Affordable Care Act may increase risks to credit quality that will pressure not-for-profit hospital revenues in 2014.
A lawyer with deep experience in the pharmaceutical industry is taking the helm of Vermont's Green Mountain Care Board, the regulator charged with controlling healthcare costs and charting a course to single payer.
CareFirst BlueCross BlueShield is dishing out $1.5 million in telemedicine grants to help healthcare providers reach people with behavioral health issues with an eye towards improving adherence to their treatments and appointments.
President Obama went on the offensive to defend the benefits of the Affordable Care Act amid a rollout of the federal government's insurance marketplace website that has been disappointing, at best, at the same time that he assembles a sort of health tech dream team to fix the problems before it's too late.
WellPoint is taking a tough stance to try to combat prescription drug abuse and fraud activities that bubble to the surface through predictive analytics and other data runs of its members and their providers and pharmacies.
McKesson Corp. is settling allegations of drug pricing inflation with Virginia Medicaid, in one of the largest such recoveries for a state.
Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.