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By Jeff Lagasse | 11:24 am | July 05, 2016
CMS said the initiative is part of a broader effort to improve care and spend money more wisely by making use of available data.
By Kaiser Health News | 10:45 am | July 05, 2016
Obama administration is making a push to get young adults covered on the health insurance marketplaces, both for their own good and that of the marketplaces, which need healthy people to balance sicker ones in the risk pool.
By Kaiser Health News | 09:55 am | July 05, 2016
Anthem and its pharmacy manager Express Scripts overcharged patients with job-based insurance for prescription drugs, alleges a lawsuit that seeks class action status for what could be tens of thousands of Americans.
By Kaiser Health News | 09:36 am | July 05, 2016
In a recently released issue paper and in a study in the journal Health Affairs last year, the Urban researchers modeled the spending impact of two programs that each paid a $100 daily benefit, with a 3 percent annual inflation adjustment.
By Kaiser Health News | 09:24 am | July 05, 2016
Blue Cross and Blue Shield of Georgia faces separate lawsuits accusing it of sending reimbursement money for emergency room care directly to patients -- and not to the hospital because it isn't part of the insurer's network. That's costing the hospitals money since patients don't always turn over the funds, according to the lawsuits, filed by Polk Medical Center in northwest Georgia and Martin Luther King, Jr. Community Hospital in Los Angeles
By Jeff Lagasse | 02:27 pm | July 01, 2016
The United States House of Representatives' Committee on Energy and Commerce is demanding to know what Theranos, the embattled blood-testing startup based in California, is doing to address its testing inaccuracies and questionable adherence to federal guidelines.
By Susan Morse | 02:13 pm | July 01, 2016
Theft of a CHCS mobile device compromised the protected health information of hundreds of nursing home residents, according to the federal agency.
By Susan Morse | 12:51 pm | July 01, 2016
Risk adjustment transfers funds from issuers with low risk to plans with high actuarial risk.
By Jeff Lagasse | 12:44 pm | July 01, 2016
Colorado-based health system Catholic Health Initiatives will be backing its way out of the insurance market after its health plan subsidiary, QualChoice Health, posted significant losses over the past couple of years, according to financial documents released by the company.
By Bernie Monegain | 11:24 am | July 01, 2016
A third-party vendor is responsible for the security breach of the protected health information of 4,300 patients at Massachusetts General Hospital.