Susan Morse

Employees are paying more for out-of-network care, ER visits while employers pay less, survey says.

Criminally indicted or convicted providers and physicians filed an estimated $600 million in liens against injured employees' claims for workers' compensation benefits between 2011 and 2015, according to the California Department of Industrial Relations and its Division of Workers' Compensation.

Alaska, Alabama, Kansas, North Carolina, Oklahoma, South Carolina and Wyoming, will have only one carrier per rating region in every region in the state, the Avalere study said.

The federal agency is considering fines and other sanctions for providers who engage in this.

The provider-run Scott & White Health Plan is the latest to leave the exchange market after alerting members on its website that it will no longer offer individual and family plans on the Obamacare markets.

Drug costs increased more than 17 percent from 2013 to 2014, compared to a 3.3 percent increase in the total cost of claims, according to Medicare Part D data released by the Centers for Medicare and Medicaid Services on Thursday.

CEO Mark Bertolini claimed savings tied to the Humana merger would have helped it remain on the exchanges.

Centene's wholly-owned subsidiary Health Net has agreed to pay $340,000 for violating securities laws on whistleblower awards, the Securities and Exchange Commission announced Tuesday.

In 1998, investors filed more than 20 lawsuits alleging the Birmingham-based MedPartners, a physician practice management company, made false and misleading statements to the public about its financial condition and prospects.

Citing over $600 million in losses and the lack of a federal safety net for the Affordable Care Act's high-risk pool, Aetna is exiting the exchange market in all but four states, Chairman and CEO Mark Bertolini said Monday.