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As dry as the decision may appear, insurers literally have millions of dollars on the line when CMS comes knocking. That makes picking the right auditor, and doing so the first time, absolutely critical.

Children's & Women's Physicians of Westchester has 276 doctors in 57 locations throughout Connecticut, New York and New Jersey.

The Urban Institute says expansion of Medicaid coverage to adults with incomes over the poverty line was key to reducing the uninsured rate among 50- to 64-year-olds from nearly 12 to 8 percent in 2014.

Since Medicaid expansion coverage began last year, emergency room visits by the uninsured dropped by 22 percent this year, compared to 17 percent in 2014.

The chief lobbyist for American health insurance is taking a job at a regional nonprofit insurer, after shaping a once-in-a-generation reform aimed at benefiting both the public and the industry.

The move, they hope, will contribute to lowering an estimated 1,300 patient deaths nationwide each year attributed mistakes associated with surgeries conducted too infrequently at medical facilities.

It was only a matter of time until a big regional Blue Cross insurer got hacked, except that time was a year ago and security experts just recently uncovered it.

According to Irving Levin Associates, the bump could be due to a just-released proposal by the Centers for Medicare and Medicaid Services to raise the payment rate for inpatient psychiatric facilities.

Depending on how much the program is reformed, it could mean the difference of hundreds of millions of dollars for the thousands of hospitals who get a drug discount.

The decline of CoOportunity Health of Iowa and Nebraska has Obamacare critics and executives at large insurers skeptical that co-ops can ever compete.