Policy and Legislation

UnitedHealth Group may exit the insurance exchange market, as the deterioration in product performance has weakened its financial outlook, the company said in an earnings update released Thursday.

Week two of open enrollment saw another 500,000-plus consumers select plans in the federal marketplace, bringing the total for the first two weeks to over 1 million, according to the Centers for Medicare and Medicaid Services.

OIG will determine the extent to which Centers for Medicare & Medicaid Services validated hospital inpatient quality reporting data.

Under the model, hospitals in 67 geographic areas will receive additional payments if quality and spending performance are strong, or if not, have to potentially repay Medicare for a portion of the spending for care for a lower extremity joint replacement procedure.

The nonprofit co-op Health Republic Insurance of New York owes hospitals within the Greater New York Hospital Association more than $150 million, according to a November 11 letter from President Kenneth Raske to member CEOs.

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.

By emphasizing the impact on taxpayers, supporters are framing the issue in terms of economics rather than humanitarian concerns.

The average 2016 premium for a 40-year-old in Anchorage is $719 a month - more than double the national average, according to an analysis by the Kaiser Family Foundation.

Bill stops CMS from paying hospitals outpatient rates at newly-acquired off-site locations.