Reimbursement

The new version of the program focuses on a number of key areas important to pediatric populations, such as surgical site infection outcomes for specific procedures.

Judge dismisses a contract dispute over billing practices that is now expected to head to arbitration.

Pharmacy benefit manager alignments will help control the big expense of prescription drugs, Cigna and Aetna executives said in latest round of earnings calls.

Finance execs at the big payers all say the Medicare Advantage market will only get bigger, and more lucrative, as baby boomers retire and CMS adjusts payment rules.

The Congressional Budget Office has projected that repeal would increase premiums by 10 percent.

The insurer signed up 250,000 new Medicare Advantage members during the first quarter.

Providers that earn CDC-certification for type 2 diabetes prevention can earn payments for treating patients that might not otherwise come in for screening.

In order to change the way care is delivered, an individual outfit needs to have a sufficient percentage of its practice in a value-based world. That balance can be tricky but hospitals won't succeed without it.

Rule eases regulatory burden estimated to cost providers $39 billion a year and the time of 59 full-time equivalent employees.

As Humana and the AMA this month announced new alternative payment models focusing on patient experience and outcomes, Blue Cross Blue Shield shared data showing what's working in its own efforts.