Susan Morse

Marketplace premiums rose by 8 percent last year, well below the double-digit rise predicted by some observers of Obamacare, according to a Department of Health and Human Services report released Tuesday.

The Affordable Care Act requires states to conduct third-party reviews of Medicaid eligibility before renewing coverage, but a new report by Georgetown University Health Policy Institute has found that legacy technology and a lack of communication can make that difficult.

Executives at University of Rochester Medical Center are so pleased with how the federal government's bundled payment joint replacement program is working that they want to expand it beyond Medicare, James Garnham, who heads bundled payments for the system, said Monday at a hearing on Capitol Hill.

The Centers for Medicare and Medicaid Services on Monday launched a new risk-based primary care initiative that it hopes will accelerate the movement towards value-based reimbursement for medical practices.

As cyberattacks of healthcare systems become more frequent and call attention to the question of whether sensitive data is secure, the Government Accountability Office has released a report identifying significant weaknesses at three selected state-based marketplaces: California, Kentucky and Vermont.

UnitedHealth Group has decided to quit the exchange market in two states, Georgia and Arkansas, according to published reports Friday.

The largest increase in the number of insured adults has occurred among those paying for a plan themselves, according to Gallup.

Aetna and St. John Health System in Oklahoma on Thursday said it will launch the Aetna Whole Health St. John OKHI network, a value-based reimbursement partnership that hopes to result in lower overall out-of-pocket costs for patients in the network.

Template includes coverage examples that demonstrate cost sharing amounts.

It also needs green light from 23 other states.