Susan Morse

The more flexible Quality Payment Program for physicians is aimed at reducing the reporting burden and offers financial incentives.

For the first time, the Centers for Medicare and Medicaid Services is adding Medicare claims data submitted by hospitals to quality measures posted on its consumer-based website, Nursing Home Compare.

Anthem's first quarter profit fell 18.7 percent from $865 million in the first quarter of 2015 to $703 million for the first three months of 2016, the company disclosed Wednesday.

New York state and seven health insurance companies have come to an agreement that ensures patients with chronic hepatitis C get coverage whether the members develop advanced signs of the infection or not, New York Attorney General Eric T. Schneiderman announced Tuesday.

Only 15% of Medicaid revenue to go to administrative purposes.

While losses in the Obamacare exchange markets are chasing insurance giant UnitedHealthcare away, New England insurer Harvard Pilgrim Health Care says the exchange business is a major moneymaker.

Beginning in 2019, insurance companies that contract with the exchanges must either exclude from their networks any hospital that doesn't meet the federal government's 2020 target C-section rate or explain why they aren't, according to the new contract approved by the Covered California board.

In a joint partnership, Anthem Blue Cross and Blue Shield and Aurora Health Care will form the Wisconsin Collaborative Insurance Company, the companies have announced.

In addition to payments, CMS is proposing new assessment-based quality measures, and claims-based measures for inclusion in the quality reporting program.

The Centers for Medicare and Medicaid Services for the first time has released data highlighting the racial and ethnic disparities in patient experience and clinical care measures for Medicare Advantage beneficiaries.