Susan Morse

The bill would require insurers to reimburse out-of-network doctors and health providers at the same rate as what they pay in-network providers.

Funds are awarded to organizations in 34 states that have a federally-facilitated marketplace.

To be successful in the Medicare Shared Savings Program, a provider has to participate in value-based care across the health system. That's according to the CMO of one that earned the third largest total savings in its third year in the program.

Humana is leaving the Obamacare marketplace in Utah, the state's Department of Insurance confirmed Friday.

Since 2012, over 400 Medicare ACOs generated more than $1.29 billion in savings with 125 qualifying for shared savings payments.

A whistleblower case believed dead involving claims of inflated Medicare Advantage risk scores has been resurrected by a federal court.

Any premium increases would be offset by comparative shopping and tax credits, says Department Health and Human Services.

Aetna said it has already announced plans to divest much of its Medicare Advantage business.

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.