Susan Morse

Three participating providers in Next Generation have dropped out, with two citing financial targets as the reason for the departure.

Medicaid expansion is making a difference as to whether hospitals are investing in clinics, new equipment and hiring new staff, or looking at the status quo and layoffs, according to a recent report by Georgetown University Health Policy Institute.

Aetna and Gateway Health are forming an accountable care organization and releasing a new individual insurance plan to sell on Healthcare.gov in time for the 2017 open enrollment period, both organizations said.

Another Affordable Care Act co-op has gone under due to the federal risk adjustment mandate and four more are expected to disappear by the fall, leaving the number of working co-ops at the start of the new enrollment season at seven.

Red Oak claims self-insured or fully insured companies and their coverage plans administered by UnitedHealthcare have conspired to embezzle funds through a process called recoupment.

A new study by the Brookings Institution claims physicians would earn more in Medicare reimbursements under the Merit-Based Incentive Payment System mandated by MACRA legislation than with the alternative payment model.

Congress should revisit creating a public healthcare plan, President Barack Obama wrote in the Journal of the American Medical Association.

Touting the benefits of the Affordable Care Act to cover Americans who otherwise would not have healthcare plans, the Centers for Medicare and Medicaid Services on Tuesday said the median deductible for marketplace coverage in 2016 is $850, down from $900 in 2015.

Humana stock fell by 9 percent last week and a recent report gives the merger a 50/50 chance of happening.

The Office of Rural Health Policy has announced the nine providers that will receive the first of $4 million in federal funding over the next three years.