Department Of Health And Human Services

Latest Headlines

Latest Headlines

Insurers lobby to amend MLR rule

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.

Insurers share claims data with HHS to fight fraud

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.

12 states pledge support for exchanges

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.

Healthcare fraud stats continue to rise

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

Insurance execs should sit on exchange boards, AHIP says

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

Report: Health insurance tax will hike premiums

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

IOM: Essential benefits must address cost, effectiveness

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

Insurers to know exchange benefits recommendations by Oct. 7

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

Blues plans call for reform rules' release by 2012

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

Rate reviews to strengthen with $109M HHS grants

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