Susan Morse

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.

Payers have until June 6 to submit documents for Medicare's Annual Election Period materials including the Annual Notification of Change, Evidence of Coverage and Summary of Benefits documents.

The Centers for Medicare and Medicaid Services has paid $27.3 million out of the $223 million Highmark is owed for 2014 under the ACA's risk corridor program, the company said.

The Senate on Tuesday approved $1.1 billion to fund the fight against the Zika virus, a figure short of the $1.9 billion requested by President Barack Obama.

Proposed Medicare Part B drug payment models threaten medical practices and patients who are already financially strained due to the price of needed treatment, physicians told a House Energy and Commerce Committee Tuesday.

Insurance rates in Washington State set to increase by an average of 13.5 percent, a figure that the insurance commissioner says comes as no surprise.