Medicare & Medicaid

The goal is to increase the approximately 59 percent of Humana individual Medicare Advantage members who have primary care physicians participating in value-based relationships, to 75 percent by the end of 2017.

Over 1.1 million applications were submitted to Healthcare.gov from Nov. 1 through 7, CMS reported.

The Medicare Part A annual deductible that beneficiaries pay when admitted to the hospital will be $1,288.00 in 2016, a small increase from $1,260.00 in 2015.

The investigation is spurred by dramatic drug price increases, often on older, off-patent drugs, after the acquisition or merger of pharmaceutical companies.

Cancer patients insured by California's health plan for low-income people are less likely to get recommended treatment and also have lower survival rates than patients with other types of insurance, according to a new study by University of California-Davis researchers.

The Centers for Medicare and Medicaid Services is developing a new model for how it pays dual-eligible health plans after an analysis showed it was underpaying these plans.

The Massachusetts hospitals follow the exit of Dartmouth-Hitchcock Medical Center in New Hampshire last month.

Republican said he would curtail the state's expansion of Medicaid by seeking a waiver for a more restrictive version of the program.

Montana has become the 30th state to expand Medicaid, with federal officials on Monday signing off on a plan to expand coverage to low-income residents through a federal waiver that requires beneficiaries to pay premiums of up to 2 percent of their income.

Nearly 500 hospitals have been ordered to pay the government more than $250 million to resolve allegations they allowed cardiac devices to be implanted in Medicare patients who were not eligible for the procedure, according to an Oct. 30 announcement from the Department of Justice in Florida.