The recent election of a Democratic governor in Louisiana who is committed to expanding Medicaid under the Affordable Care Act has given hope to hospitals and other advocacy groups that back expansion of coverage to low-income adults in the 20 states where Republican leaders so far have balked.
A fifth health insurer has dropped out of an ambitious but struggling Medicaid reform program that targets New Yorkers with high medical costs.
UnitedHealth Group's announcement this month that it will consider exiting the insurance exchanges in 2017 because of sizable financial losses on its exchange business was the latest in a series of blows to the Affordable Care Act.
Previously, laws enforced by HHS' Office for Civil Rights were based on race, color, national origin, disability and age. This summer, the Obama administration proposed that those protections also block discrimination based on sex, including gender identity. But plans say they are struggling to...
Molina Healthcare will buy the Medicaid assets of one of Henry Ford Health System's health plans, and other news
Molina Healthcare will buy the Medicaid assets of one of Henry Ford Health System’s health plans.
Executives with Arizona’s not-for-profit health insurance co-op said they will shut down all operations on Dec. 31.
Maryjane Wurth has been named chief strategy and relationship officer at the American Hospital Association, as well as president and CEO of Health Forum, the AHA's business-development arm.
Federal prosecutors announced charges Tuesday against a former hospital CFO, two surgeons and two other defendants in a kickback scheme involving nearly $600 million in fraudulent claims for spinal surgeries in Southern California.
The CMS has proposed mandating minimum network standards for health plans sold on the federal insurance marketplace in 2017 as part of an effort to handle the broad shift toward narrow provider networks.
Two large Midwest health systems are building an insurance plan together around Medicare Advantage, and the joint venture marks yet another example of providers' burning ambition to get into the insurance game. And many of them are honing their play in the Medicare league.
Ceci Connolly, 52, is president and CEO of the Alliance of Community Health Plans, a Washington-based trade group that represents large not-for-profit health insurers, including Kaiser Permanente and UPMC Health Plan.
UnitedHealth Group's new Harken Health subsidiary is a test of what Harken CEO Thomas Vanderheyden calls relationship-based primary care. This responds to what many experts say is a need for value-based benefit designs that encourage people to receive recommended primary and preventive care.