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Health system saves $11 million from 1,254 unnecessary readmissions and $2 million saved through the prevention of 110 venous thromboembolisms.

For the third year, Iowa's largest insurer is shunning the state exchange, letting for-profit competitors take on subsidized members.

Study by Standard & Poor's finds a number of provider-owned health plans and cooperative insurers may not get the funding they had hoped for.

From the depths of the Internal Revenue Services comes an attempt to clarify some ambiguities for the uniquely taxed Blue Cross Blue Shield insurers and their medical cost ratios.

The state previously had a malpractice limit of $350,000, but in 2012, the state's Supreme Court ruled the cap on damages for pain and suffering unconstitutional.

About 186,000 people in Louisiana signed up for health insurance under the law and almost all of them got help from the federal government to pay their premiums.

When it comes to comprehensive contraception options as a preventive health benefit, free means free, regulators reminded the insurance industry.

Text of a bill by Rep. Ted Poe, R-Texas, to delay the switch to ICD-10 diagnostic coding surfaced on Monday, in which it requests further study on the disruption on healthcare providers could face resulting from the replacement of ICD-9.

Experts say consumerism means hospital revenue cycle team must try harder to engage patients.

Based on insurer estimates of payables and receivables, plus an uncertain funding limit, the risk corridor program can seem like it's actually making the new individual market more shaky.