Susan Morse

The deal marks Harvard Pilgrim's third such contract aligning medication payments to real-world performance with patients.

AHIP CEO Matt Eyles says a proposed rule from the Centers for Medicare and Medicaid Services would result in more uninsured Americans and leave sicker, riskier patients in ACA marketplaces, ultimately driving healthcare costs higher.

The court order covers all insurers offering qualified health plans in the Affordable Care Act market for the 2017 or 2018 benefit year.

The insurer is partnering with five medical groups to rollout the reimbursement option with the goal of improving patient experience by reducing complications, duplications and readmissions.

Bipartisan bill is expected after questions are answered by April 26 deadline; Senate HELP committee gets ready to markup Opioid Crisis Response Act.

Parker, who has 20 years of experience at Anthem, will address the cost and availability of health insurance, HHS says.

The agency wants to overturn the court ruling against the agency's final rule that includes private insurance and Medicare reimbursement in setting payment limits.

America's Health Insurance Plans is among organizations asking Azar, HHS to stop the routing of dialysis patients who are eligible for Medicare, Medicaid to individual coverage carrying higher reimbursement rates.

UnitedHealthcare expecting the 33 percent of seniors now in plans to grow to over 50 percent in the next 5-10 years.

American Medical Association and the American Society of Addiction Medicine are preparing to pilot test a model that pays for care including medications combined with psychosocial support.