Challenges in Illinois are a cautionary tale for the rest of the country and highlight how important it is for Medicaid managed-care plans to work effectively with providers.
Wisconsin last week unveiled plans to overhaul Medicaid by requiring members to pay insurance premiums and undergo a drug screening.
Insurers spent a combined $6.2 million lobbying Congress over a range of issues in the first quarter as Republican lawmakers fought to repeal and replace the Affordable Care Act.
Healthcare executives have hoped the strategy of integrating hospitals, doctors and other care settings with insurance under one roof will lower spending and improve care coordination—a strategy hospitals tested a couple decades ago, but it ultimately failed for many.
A federal judge has dismissed two counterclaims by Express Scripts Holding Co. in a multibillion dollar lawsuit brought on by insurer Anthem over its drug charging policies.
Health insurers are pleased the Trump administration wants to give them seven extra weeks to file rates for individual-market plans in 2018. But that move does little to settle their uncertainty about whether to offer plans at all.
Last week's Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs and Health did a grave disservice to Americans rightfully upset about the rising tide of drug and alcohol dependency in their communities.
When Republicans attempt to repeal and replace the ACA, they may have to change course on repeal if they want insurers on board with replace.
Major changes in the exchange-based individual market will spill over to Americans with practically any type of health coverage—Medicare, Medicaid or employer-based plans.
The first of the U.S. Justice Department's highly anticipated healthcare merger challenges is set to start next week in Washington, D.C.,as Anthem and Cigna Corp. defend their proposed merger.
Medigap insurers and hospitals that enter preferred-network arrangements could run the risk of violating federal anti-kickback laws, but an HHS watchdog said it wouldn't fine those organizations due to low fraud risk.
Healthcare pricing concerns are making a late run for relevance as the presidential campaign heads down the homestretch. Unfortunately, too much attention is being paid to price hikes on the Obamacare exchanges, which affect only a thin sliver of the population.