Last year, 80 percent of consumers chose bronze or silver health insurance plans--the two lowest-cost tiers--but many did not select the cheapest plan within those tiers, according to a new report.
By working with groups that represent chronic disease patients, insurers can save money on costly therapies while ensuring patients have access to the treatments they need, according to a recent Health Affairs blog post.
A new study that looks at data as far back as the mid-1970s shows that uninsured rates have actually increased among young adults--but the Affordable Care Act is making a dent i the numbers.
If Wednesday's opening arguments are any indication, the Supreme Court case regarding the Affordable Care Act's contraceptive coverage mandate could split the justices evenly, affirming previous rulings that the government exemptions offered to religiously affiliated organizations are lawful, but leaving other courts without a national precedent.
In an effort to improve care quality and coordination, Blue Cross & Blue Shield of Rhode Island plans to arm primary care providers with the power of data.
The federal government must create procedures to oversee security of state-based health insurance marketplaces and continously monitor security controls for Healthcare.gov, the U.S. Government Accountability Office said in a recent report after finding "significant weaknesses" in technical controls.
Health insurers want error-free claims from providers and providers want accurate payment from payers--but both must improve processes to meet those goals.
Though insurance regulators in Maine sought to put the state's struggling community operated and oriented plan into receivership to curtail its mounting losses, the Centers for Medicare & Medicaid Services rejected that plan, the Portland Press Herald reports
As the Affordable Care Act turns six years old this week, the Obama administration is marking the occasion by highlighting its successes and laying out plans for how it might transform the healthcare system going forward.
The 31 states and the District of Columbia that expanded their Medicaid program under the Affordable Care Act are saving millions, while revenues are up for both the states and its insurers, according to the Robert Wood Johnson Foundation.
A new pilot project announced by America's Health Insurance Plans aims to improve the accuracy of provider directories that have been plagued by imprecise information, leading to confusion among consumers seeking in-network care.
The incoming CEO for Express Scripts wants to resolve a longstanding drug pricing dispute with its largest client that has morphed into a lawsuit, a confrontation that underscores the growing negotiating power for large insurers and questions Express Scripts' independent business model.
To ensure that alternative payment models succeed, insurers and providers must avoid common missteps.
Multiple reports indicate that the sizable increase in the number of Americans with healthcare coverage is mostly a result of the Affordable Care Act, rather than an uptick in the economy, according to the Associated Press.
As the controversy continues over Horizon Blue Cross Blue Shield of New Jersey's Omnia health plans, some say it's worth looking at other states to decide how to regulate tiered networks.
Anthem's public spat with Express Scripts has escalated into a lawsuit against the pharmacy benefits management company charging it with failing to pass on prescription drug savings.
AHIP CEO Marilynn Tavenner wants to bring UnitedHealth Group and Aetna back into the trade group's fold, close a $2 million budget deficit, fix the "antiquated fee-for-service methodology" used forMedicare Advantage and repeal the Cadillac tax--all in 2016.
Currently 13 states are working to align Medicare and Medicaid financing as well as integrate primary and acute care, behavioral health services and long-term services and supports through a variety of innovative methods, according to a new report from the Center for Healthcare Strategies.
When examining the health policies advocated by Democrats and Republicans—and their respective presidential candidates--it's clear that the two parties have two very different philosophies about how to pool risk in health insurance, according to a blog post from Health Affairs.
Connecticut's return to a more traditional "fee-for-service" arrangement in its Medicaid program--which runs counter to what many other states are doing--has enabled it to save money and improve care, according to an article from the Wall Street Journal.