Reimbursement
The individual and employer mandates, foundations of the Affordable Care Act, were first enacted in Massachusetts in 2006 -- and the employer mandate especially could have been challenged under the federal Employee Retirement Income Security Act (ERISA).
Insurer Highmark and its provider partner Allegheny Health Network will invest $11 million in the creation of the Disruptive Health Technology Institute at Carnegie Mellon University, in a collaboration to come up with breakthroughs to make health care more affordable, simplified and accessible.
A study comparing hospital costs for one of the most common surgeries suggests that it's more expensive when paid for by workers' compensation than by group insurance.
Patient engagement and accountable care mean payers and providers have to collaborate on change and also to help patients rethink health and health care -- including death and the quest for a good one.
The Obama administration on June 26 issued a final rule allowing all American Indians and Alaska Natives who are eligible to receive services from an Indian healthcare provider to receive an exemption from the shared responsibility payment if they do not maintain minimum essential coverage under the Affordable Care Act.
When Aetna asked people from three generations -- Millennials, Generation Xers and Baby Boomers -- which was the healthiest, nearly half of the respondents from each group said their generation.
The first study comparing hospital costs for one of the most common surgeries suggests that it's more expensive when paid for by workers compensation than by group insurance.
An analysis from Avalere Health shows that in nine states the second-lowest cost "Silver" premiums appear to be lower than what the Congressional Budget Office (CBO) estimated for 2016.
The hottest letters in healthcare right now are A, C and O. And while together they stand for accountable care organization, industry analysts say providers need to look beyond the acronym in their efforts to build a new business model.
With a number of studies indicating that one in three patients enters U.S. hospitals malnourished and many more becoming malnourished once admitted, five organizations decided to band together to launch the Alliance to Advance Patient Nutrition.