Susan Morse

A new Government Accountability Office report to the chairman of the Senate Finance Committee claims that federal rules may hinder states from applying to waive sections of the Affordable Care Act to make marketplace health insurance provisions more innovative.

In future rulemaking, the Centers for Medicare and Medicaid Services will propose that all issuers fund a small payment to the risk adjustment program to help marketplace insurers with high claims costs.

CMS gives MA plans flexibility in benefit design for enrollees with certain chronic conditions.

U.S. District Court Judge John Bates said the insurer failed to provide evidence of any harm that would be done by having a later trial.

Aetna has aligned with Duke Health and WakeMed Health & Hospitals in North Carolina on an expanded accountable care collaboration that will be open to larger, self-funded employers.

The Centers for Medicare and Medicaid Services has updated its five-star quality ratings for nursing homes that will likely alter the current ratings.

The cost to implement information technology needed to meet federal mandates for value-based care is taking a financial toll on physician-owned multispecialty practices, according to the Medical Group Management Association.

Aetna has sent a letter to over 900 physicians, telling them they fall within the top 1 percent of opioid prescribers.

For the first time, most employers consider specialty pharmacy as the highest driver of healthcare costs.

This year's presidential campaign has become so chaotic it has prompted the president of the American Psychiatric Association to issue a reminder to professionals not to publicly analyze the candidates.