As more insurers shift to narrow provider networks to keep premiums down, hospitals increasingly find themselves caught in the middle as patients, insurers and physicians fight over who should pick up bills for services that patients unknowingly receive from out-of-network doctors.
Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.
With the next Affordable Care Act open-enrollment period looming, recruiters are looking for their next targets but they've got fewer resources for reaching the remaining uninsured.
Until this year, it was impossible for healthcare consumers in North Carolina to find out the average out-of-pocket cost for medical and surgical procedures. But in January, Blue Cross and Blue Shield of North Carolina unexpectedly launched an online site that allows the general public to see how...
Data Points for the week of Aug. 31, 2015, covered the following topics: Estimated cost for U.S. military to provide transition-related healthcare to transgender personnel, nursing home care, Medicare Advantage competition and physician diversity.
Just two months before the opening of the third open-enrollment season under the Affordable Care Act, state-based exchanges are looking for new ways to encourage people to sign up for health insurance.
Now that the Food and Drug Administration has given the OK to two pricey drugs that treat high cholesterol, health insurers and pharmacy benefit managers are evaluating if one drug should receive preferred coverage over the other.
The devastation of Hurricane Katrina 10 years ago presented New Orleans with the opportunity to re-imagine our healthcare system and determine how we could better provide care to residents.
A recent decision by a federal judge may help bolster providers' lawsuits against Medicare Advantage plans over those plans' decisions to slash reimbursement rates in response to federal budget cuts.
Nevada Health CO-OP is shutting down by Jan. 1, the not-for-profit health plan announced Wednesday. It is now the third co-op to fold, and data suggest it's possible other co-ops may follow suit.
The price of health plans sold on and off Florida's insurance exchange will go up an average of 9.5% next year, Florida's Office of Insurance Regulation said Wednesday. The final rates vary widely by insurer and type of plan.
Cigna Corp. has named Greg Allen as president of its Tennessee market. He'll oversee the Bloomfield, Conn.-based insurer's products and services in the state, including employer-based group benefit plans, individual plans and Medicare plans.