Susan Morse

The Centers for Medicare and Medicaid is revising its policy to include shared savings ACOs in its upcoming Comprehensive Primary Care Plus program.

In Ohio, Coordinated Health Mutual is in receivership due to its extensive financial losses in the exchange market under its InHealth Mutual brand, according to Lt. Gov. Mary Taylor, who is also Ohio Director of Insurance.

The federal government is already pushing providers towards more risk, so it's not surprising that many are going all in by sponsoring a health plan.

As lawmakers debate funding to stop the spread of the Zika virus, insurers are determining the impact of an outbreak in the United States.

In another provider-insurer collaboration, Texas Health Resources and Aetna on Thursday announced the formation of a jointly owned health plan company.

To continue progress towards a safer healthcare system, CMS is requesting proposals for the Hospital Improvement and Innovation Networks.

Missouri state regulators on Wednesday said they will not support Aetna's proposed $37 billion takeover of Humana, according to documents filed May 24 by John M. Huff, director of the Department of Insurance, Financial Institutions and Professional Registration for the state.

On Tuesday, the House Ways and Means Committee passed the "Helping Hospitals Improve Patient Care Act," a bill that, among other provisions, provides financial relief for hospitals that were in the process of building off-campus outpatient centers in 2015 when the reimbursement policy was changed.

Avalere said the cost to beneficiaries could be higher if they bought in at a younger age, mainly because Medicare offers no financial out-of-pocket cap on services.

The American College of Emergency Physicians is suing the Department of Health and Human Services and other federal agencies for setting payment rules that result in inadequate reimbursement for out-of-network emergency medical services, according to the civil lawsuit filed in U.S. District Court on May 12.