Healthcare Finance Staff

The medication therapy management model is being tested in five regions as an incentive to boost adherence for stand-alone Part D plans not connected with Medicare Advantage.

America's Health Insurance Plans on Wednesday called former Secretary of State Hillary Clinton's stance against major insurance company consolidation misguided, and suggested that the presidential candidate focus on other issues plaguing healthcare instead.

A key strategy for Medicare is encouraging doctors, hospitals and other health care providers to form accountable care organizations (ACOs) to coordinate beneficiaries' care and provide services more efficiently.

CMS has approved Dartmouth-Hitchcock's application for Next Generation and will receive its dollar target this fall. That will determine whether they sign the contract.

Aetna said it expects the transaction will be completed in the second half of 2016 pending conditions, federal review and regulatory approval.

Four companies running urgent care centers in New York have agreed to disclose more fully which insurance plans they accept, following an inquiry by the state's attorney general that found unclear or incomplete information on their websites that could result in larger-than-expected bills for consumers.

Opponents of the tax fear that more out-of-pocket costs for consumers will add to the difficulty many Americans already have paying their medical bills, now that high-deductible health plans are commonplace.

While the Centers for Medicare and Medicaid Services announced a year's grace period this summer when it comes to claims coded with ICD-10, not all large commercial payers are following suit.

Due to concerns of insolvency, federal and state officials have ordered the nonprofit co-op Health Republic Insurance of New York to cease writing policies and to close by the end of the year.

President Barack Obama signed legislation last week that makes a significant change in the health law's small business rules, following a rare bipartisan effort to amend the health law.