The Department of Health and Human Services predicts between 9M and 9.9M people will sign up during open enrollment.
The open enrollment period is upon us and it appears that more Americans than ever...
A new rule will prevent group health plans that exclude inpatient hospitalization services and/or physician services.
The Department of Health and Human Services (HHS) and the Department of the...
Patient engagement can make it easier for providers to collect revenue from consumers who stay insured.
Patients are more likely to rejoin the expensive ranks of the uninsured if they do not have...
A computer error caused BlueCross BlueShield to issue incorrect 2015 rates to nearly 42,000 customers.
During the open enrollment period for health insurance that is currently underway, any mistake from...
Payers see a bright future for accountable care as pay-for-performance profits begin to roll in.
Accountable care arrangements are helping healthcare payers rake in significant revenues, and are...
A new study from HCCI found a 3.9 percent increase in spending from privately insured Americans.
According to a recent study from the Healthcare Cost Institute, privately insured Americans spent more on...
A number of different racketeers have been convicted of more than $400 million in fraudulent Medicare billings.
The Attorney General’s Office has quashed a number of different high-value Medicare...
IDC Health Insights research director Deanne Kasim talks about the the impact of evolving payment models.
Earlier this week, this site covered a new report from IDC Health Insights that focuses on best...
Accountable care and other quality investments have produced significant improvements in complication rates and hospital admissions, the payer said last week.
UnitedHealthcare’s investments in...
Open enrollment for individual health care coverage under the Affordable Care Act for 2015 is a month away. Starting November 15,2014 and ending December 15, 2014, the second open-enrollment period will...
On October 1, a new law officially took effect in Massachusetts that adds a new level of medical billing transparency. Now, anyone with private health insurance in the state can log on to their...
The healthcare world is continuously evolving, with healthcare payers and providers working to find the best way to give patients high-quality, affordable care. Accountable care organizations (ACOs)...
The Affordable Care Act’s (ACA) rate-review provision states that insurers must submit proposed premium rate increases of 10 percent or more to federal authorities. Additionally, insurers need to...
As the transition from volume-based reimbursement to value-based reimbursement continues, it is essential for healthcare payers and providers to work together. However, if a recent survey is any...
Last month, the Office of Inspector General (OIG) released a review of physician supplemental payments that were made to the University of North Texas. It was discovered that the organization received...
The per capita healthcare spending for young adults with employer-sponsored insurance (ESI) grew at a rate nearly double that of other adults in the first two years of the Affordable Care Act (ACA),...
Finding the affordable and applicable health insurance is not always an easy task, and if a recent survey is any indication, a lack of information could be preventing Americans from choosing a health...
In an effort to improve patient care across Pennsylvania healthcare facilities, Capital BlueCross and the Health Care Improvement Foundation (HCIF) joined together to create a collaborative – the...
States that did not expand Medicaid could be more likely to have uninsured parents, according to a recent Urban Institute survey. The number of uninsured parents living in states that have not expanded...
The three insurers administering Kansas Medicaid coverage lost $72.6 million in the first half of 2014. This is just the next step in a downward trend, as the KanCare system lost $110 million in...
