Utah Gov. Gary Herbert's trimmed-down plan for expanding Medicaid appears to have hit a dead end at the state Capitol.
Payers' efforts to drive down hospital prices may be succeeding. Prices that private and public health insurers paid to acute-care hospitals declined in January, compared with the same month a year ago, the first time they have dropped since the federal government began collecting these data.
The CMS has proposed increasing health insurers' Medicare Advantage payment rates by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented.
Sutter Health, a California not-for-profit 24-hospital system, and insurer Blue Shield of California have come to an agreement after a monthlong feud over price increases and new contract terms.
A large payer and health system in California are embroiled in a bitter feud over expired contract terms, the type of fight all too common in the fee-for-service world. Value-based pay promises to align providers and payers in the pursuit of efficient care, but they're likely to keep fighting.
I am a strong advocate for providing quality care but am disappointed when my organization does follow-up on current Medicare HCAHPS. Often responses are given by people not involved in the patient's care (the patient or their spokesperson).
Sorting through the shards of Vermont's discarded single-payer health insurance scheme reveals the plan was undone by its generosity toward patients, hospitals and physicians, not its core assumptions.
The Food and Drug Administration on Friday approved Viekira Pak, a combination of pills that becomes the fourth treatment the agency has approved in the past year to treat hepatitis C.
Telehealth startup American Well announced a $80 million funding round Tuesday, capping a big year in funding for telehealth startups.
Actuaries say it's getting increasingly difficult to advise states on sound rates for Medicaid managed-care plans because high-priced specialty drugs like Sovaldi continue to hit the market at a rapid clip.
Now that patients are assuming greater financial responsibility for their healthcare, payers and providers must collaborate to educate patients and reduce barriers to care.
UnitedHealth Group's profit per share in the third quarter exceeded Wall Street's estimates in large part because of lower-than-expected medical costs, giving hope for other health insurers that healthcare spending is still being held in check.