Susan Morse

Avalere said the cost to beneficiaries could be higher if they bought in at a younger age, mainly because Medicare offers no financial out-of-pocket cap on services.

The American College of Emergency Physicians is suing the Department of Health and Human Services and other federal agencies for setting payment rules that result in inadequate reimbursement for out-of-network emergency medical services, according to the civil lawsuit filed in U.S. District Court on May 12.

State is providing $300 million of estimated $600 million project.

Cigna said it would tap into its experience with prevention, wellness and chronic disease management programs to will work with clients, physicians and others to develop ways to increase prevention and treatment of substance use disorders.

He succeeds Charles W. Sorenson, who retires on October 15, 2016.

The legislation gives improved consideration of socioeconomic status in the Hospital Readmissions Reduction Program.

As margins are squeezed, interest in provider-sponsored health plans continues to increase. The expectation, according to a new PwC report, is that half of health systems will be applying or will consider applying for an insurance license.

Kim Keck, senior vice president of Aetna, will become the president and chief executive officer of Blue Cross & Blue Shield of Rhode Island in June, the nonprofit insurer announced Thursday.

Humana is partnering with four orthopedic specialty groups in Tennessee, and an additional two in Ohio, on bundled payments for Humana Medicare Advantage members undergoing total hip or knee joint replacement.

Cigna has teamed up with Integrated Independent Physicians Network in Florida for an accountable care organization model that rewards doctors for having a healthier population and saving money.