Fighting fraud shouldn't count as administrative costs under the reform law's medical-loss ratio (MLR) provision, insurers told the U.S. Department of Health & Human Services.
Hoping to clamp down on healthcare fraud, private payers like UnitedHealth and WellPoint are partnering with the U.S. Department of Health & Human Services to share more claims information and fraud prevention best practices.
At least 12 states already have pledged their support of creating a health insurance exchange, the U.S. Department of Health & Human Services (HHS) said.
Let's kick off 2012 by talking about healthcare fraud and near frauds. My favorite recent hospital CFO tears-out-their-hair story from that realm comes from a friend who's a NICU nurse at a Southern
Health payer executives and other insurance experts should be allowed to sit on the boards of health insurance exchanges (HIX), America's Health Insurance Plans (AHIP) said in comments on the
A new report commissioned by America's Health Insurance Plans (AHIP) predicts that payers will pass the cost of a new insurance tax onto their customers by increasing premiums. The tax, which will be
Insurers are getting a peek at what type of coverage they must provide if they participate in health insurance exchanges with the release of an Institute of Medicine (IOM) report . However, they may
The Institute of Medicine (IOM) will announce its recommendations for what benefits insurers must provide if they participate in a health insurance exchange by Oct. 7, reports Reuters. Rather than
The Blue Cross Blue Shield Association (BCBSA) is urging the federal government to release all regulations required under the health reform law by 2012. Kris Haltmeyer, BCBSA executive director of
Insurers likely will start seeing their premium increase requests get even more scrutiny now that the Department of Health & Human Services (HHS) has doled out $109 million in additional grants