Massachusetts lawmakers have advanced a proposal that would require insurance companies to provide coverage for doctor-prescribed Lyme disease treatments.
A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.
Aetna's total medical membership fell by almost a half million people since the start of the year, but the Hartford, Conn.-based health insurer was still able to build revenue.
One of the most comprehensive, independent studies of commercial healthcare prices shows that employers and insurers that provide private health coverage pay a lot more for services depending on the state where people live.
The latest annual report card on the nation's health shows there's been progress in narrowing the gap in health disparities between blacks and whites, while Hispanics continued to have better outcomes than both.
Anthem lowered its net earnings per share target for 2016 after posting a first-quarter drop in profit and recording one-time charges, but reaffirmed its adjusted earnings and outlook for the rest of year.
UnitedHealth Group may be abandoning most of the Affordable Care Act's insurance exchanges due to steep losses. But Centene Corp. is doing just fine.
Insurers that pull out of the Affordable Care Act marketplaces can nudge enrollees to follow them but can't automatically sign them up for off-exchange plans. The CMS issued guidance on the matter just days after UnitedHealth Group said it plans to ditch the exchanges in most states.
The CMS has finalized a long-awaited rule that will overhaul managed Medicaid, which has not been updated in a decade. The medical-loss ratios were capped at 85%, and network adequacy issues have been punted to states.
With surprise medical bills and high out-of-pocket costs getting increasing political attention, some hospitals and physician groups around the country are drawing criticism for their aggressive collection actions against patients.
UnitedHealth Group CEO Stephen Hemsley earned $14.5 million in 2015, according to a filing Friday, but he wasn't the top-earning health insurance executive.
Fostering a culture of transparency on performance measures is one of the key strategies used by the health systems that made this year's list of Truven Health Analytics' 15 Top Health Systems.