Healthcare Finance Staff
As many as 31 million Americans now receive healthcare through an accountable care organization (ACO) according to a recent report "The ACO Suprise" from industry consulting company Oliver Wyman.
Insurance coverage for tobacco cessation varies widely and is often explained in convoluted and occasionally contradictory contract language, a study of 39 health plans has found.
Florida to make higher Medicaid payments; coalition urges Texas legislature to fully fund Medicaid program; and Conn. officials surprised by Medicaid enrollee growth in this week's Medicaid Digest.
Michigan lawmakers are transitioning Blue Cross Blue Shield of Michigan into a member-owned nonprofit, as the organization's historic mission as a tax-exempt "insurer of last resort" becomes unnecessary under the Affordable Care Act.
Nearly a year after providing guidance that broadly defined essential health benefits (EHBs), the U.S. Department of Health and Human Services on Tuesday put some meat on the bones with a detailed set of proposed rules that will determine the required components that must be offered beginning in 2014 through all non-grandfathered health plans.
With the passage of a ballot initiative this month, Massachusetts became the latest state to allow the use of marijuana for medical purposes, joining 17 others and the District of Columbia.
In the late 1990s, New York City small businesses saw surging healthcare costs and many small business employees were going without insurance. As part of broader efforts to warm the city's business climate, in 1999 mayor Rudolph Giuliani awarded a $1 million grant to the New York Business Group on Health to create the not-for-profit insurance exchange HealthPass New York.
Pharmacists at 25 Rite Aid stores in greater Cleveland are offering diabetes control programs, as a part of UnitedHealth Group's community-based diabetes management and prevention initiative.
GOP governors mull exchange options; NAIC compiling list of questions for HHS on HIX implementation; and Conn. group urges state exchange to be an "active purchaser" in this week's HIX Digest.
More than half of all Medicare claims denial appeals are overturned by administrative law judges according to a recent report by the HHS Office of the Inspector General.