Debate continues about whether releasing healthcare provider payment data publicly is a good idea: Proponents say it will show taxpayers where their healthcare dollars are spent and how provider choices affect their pocketbooks. Opponents say, besides misleading the public, releasing payment data may increase healthcare costs.
Caremark agreed to pay the federal government and five states $4.25 million to resolve allegations that it intentionally denied Medicaid claims for payment on behalf of beneficiaries covered by both Medicaid and private insurers.
During a Congressional hearing on Wednesday, policy experts debated in their testimonies whether the healthcare reform law's funding cuts to Medicare Advantage insurers will lead to higher costs and lower enrollment.
The New York attorney general's office is requiring Markel Insurance Company to pay $3.75M for overcharging college students on their health plans.
The Obama administration, which quietly fixed a problem with Medicaid sign ups on HealthCare.gov on Black Friday, may have inadvertently placed states and insurers at risk for higher Medicaid costs and fraud, Politico reported.
The Internal Revenue Service has issued final regulations laying out how it will collect new taxes on health insurance companies predicted to generate almost $60 billion over the next five years to help pay for premium subsidies.
Employers have a bleak outlook about Affordable Care Act preparedness, healthcare cost containment strategies and the U.S. healthcare system's overall performance, according to a new survey from the Deloitte Center for Health Solutions.
The Medicare program wants to rein in the escalating costs associated with nursing homes, home healthcare and other services provided after an enrollee is discharged from the hospital, Kaiser Health News reported.
More than one in four Americans would move to another state or even another county to get better or cheaper healthcare coverage, according to the latest survey from Bankrate.
The Obama administration, which believes young adults will help keep premiums low for everyone, and insurers alike are keen on attracting young adults to sign up for plans sold on the health insurance exchanges. But some of their best efforts might be based on incorrect, preconceived notions about these folks.
The Obama administration will announce later this month that 100,000 people signed up for health coverage through HealthCare.gov in November, for a quadrupling in enrollments from October's lower-than-expected 27,000 sign-ups, according to a person familiar with the federal health insurance exchange website.
The U.S. Supreme Court won't hear a challenge to the healthcare reform law's employer mandate, denying a case brought by Liberty University, CNN reported.
The Affordable Care Act's prohibition of discrimination against people with pre-existing conditions and its removal of payment caps may help two groups that have faced insurance barriers to quality healthcare: HIV and AIDS patients and the lesbian, gay, bisexual, and transgender community.
Yesterday the Obama Administration announced that the federal Affordable Care enrollment website HealthCare.gov is working for most users and ready to handle a post-Thanksgiving traffic blitz.
While healthcare reform in Massachusetts--which served as the model for the federal law--increased the number of insured patients, it did not lead to a corresponding spike in ICU utilization, according to a study in the journal Critical Care Medicine.
The Kaiser Family Foundation recently released its 2014 Medicare Advantage Data Spotlight, which paints a wide-angle picture of the Medicare Advantage landscape facing payers and beneficiaries next year.
The U.S. Supreme Court agreed to consider whether for-profit businesses employing 50 or more people can, on religious grounds, opt out of an Affordable Care Act requirement to cover contraceptives in health benefits plans.