Covered California, the state's insurance exchange, will exclude hospitals with high rates of C-sections in an effort to reduce the overall number of medically unnecessary cesarean births, which can be costly and carry higher risks for mother and baby.
A Crain's investigation shows how Health Republic, the insurance company that was supposed to be about people, not profits, misled its customers and ran itself into the ground.
UnitedHealth Group plans to exit a third state Obamacare market as the insurer works to stem losses from its struggling Affordable Care Act business.
Twenty states with federally run small business health options program (SHOP) exchanges are taking the White House up on its offer to a launch more options in an effort to attract more employers to use the marketplaces. Those opting out fear it will have a negative impact on their risk pools and...
A lot of attention is being paid to how health insurance products in the ACA marketplaces have changed this year. There are scattered reports about loss of access to specialty hospitals in some markets, and a general narrative suggesting that overall access to top-rated providers in marketplace...
Nearly 12.7 million Americans selected or re-enrolled in health coverage through the Affordable Care Act's state and federal marketplaces, according to HHS data released Friday. The data confirm the government's initial estimates after open enrollment closed Jan. 31.
Unlike the last few election cycles, paid political advertising that features healthcare issues hasn't played a starring role in the early primaries. But once the Democratic and Republican nominees are selected, watch out.
Two of California's largest insurers are trying to build one of the country's most comprehensive health information exchanges, but they face reluctance from providers hesitant to share their data.
The Chicago-based parent of Blue Cross and Blue Shield plans in five states, including in Illinois, shrank its net loss in 2015 to $65.9 million, compared with $281.9 million the year before. The insurer generated $31.2 billion in total revenue in 2015, a 12.6% increase from 2014.
With billions of taxpayer dollars at stake, the Obama administration has taken a "passive" approach to identifying potential fraud related to the president's healthcare reform law, nonpartisan congressional investigators said in a report due out Wednesday.
Regarding the Feb. 15 story “The opioid abuse epidemic: How healthcare helped create a crisis,” sadly, most federal and state policies have largely missed the mark. Community awareness programs sound good but have not proved effective.
Mary Brainerd, CEO of HealthPartners, discusses her system's foray into insurance, the challenges faced by providers that want to make similar moves and her own experience in the healthcare system as a patient with breast cancer. She spoke with Modern Healthcare reporter Bob Herman.