Healthcare Finance Staff

The National Committee for Quality Assurance wants to modernize its health plan accreditation program with a range of new requirements that in some cases mirror trends in regulatory scrutiny.

Under pressure from the industry and Congress, the Centers for Medicare & Medicaid Services is withdrawing several proposed changes to the Medicare drug program, but still charging ahead with others that could prove disruptive.

The federal government's latest health reform tweaks could complement or disrupt the transition to new insurance marketplaces, depending in part on how consumers fair in the last month of open enrollment.

After a one year delay, the federal government is giving states a framework to create insurance programs for low-income residents earning above the Medicaid eligibility threshold, potentially encouraging more experimentation with public payer policies.

While many states have been challenged to expand their insured populations in ways encouraged by the Affordable Care Act, Ohio and Kentucky have leveraged their distinctive political and business climates to find early success.

Humana is naming a healthcare outsider as its next chief innovation officer, just as executives are looking for breakthroughs from recent acquisitions.

The Centers for Medicare & Medicaid Services' proposal to mandate broader provider networks in public insurance exchanges could have the unintended consequence of discouraging insurer participation, according to analysts at Moody's.

The administration has confirmed that the individual policies that were supposed to be cancelled because of Obamacare can now remain in force another two years.

The federal government is once again extending pre-2014 health plans and outlining other tweaks and finalized rules for several key programs that regulators hope will smooth what continues to be a bumpy and confusing transition.

The parent company of some of the country's largest Blues plans appears to be shoring up cash reserves for what may one of the most unpredictable years in its history.