Politics and Policy

Telemedicine is gaining broader acceptance, yet legal restrictions and reimbursement barriers continue to slow its momentum.

While expansion means better health, it is creating logistical and operational concerns that health plans must rapidly address.

Experts say the benefits of ICD-10 will far outweigh the risks. Here's why.

G. William Hoagland, senior vice president of the Bipartisan Policy Center, believes that the Affordable Care Act and possible repeals toward it will be issues in the 2016 election.

There are advocates who say Medicare needs to increase the type of coverage it provides for beneficiaries.

On the 50th anniversary of Medicare, a look at the program's past, present, and future.

Healthcare spending growth faster than recent trends.

The U.S. Department of Health and Human Services (HHS) will investigate how much money Medicaid has lost over the past decade paying for rising generic drug prices by comparing price increases between 2005 and 2014 against the rate of inflation.

A recent survey by KPMG identifies key challenges many organizations face in preparing for value-based reimbursement.

A recent report claims that many insurers are failing to comply with ACA coverage requirements. Here are some of the key requirements to pay attention to.

We are on the verge of healthcare modernization that will transform the healthcare experience.

Coverage decisions about new technologies, including access and cost considerations, are a major challenge for public and private payers.

How do we reverse the trend of super users and reduce costs for this small, unique pool of members? Here are some tips.

Health plans, exchanges and associations share their reactions to the Supreme Court's King V. Burwell ruling.

Any day now, the Supreme Court will decide the highly anticipated King v. Burwell, which will determine the viability of a central mechanism of the Affordable Care Act.

If most patients are not going to exceed their deductible in a given year, they are now “consumers” and are looking for differentiators that offer fixed fee care.

Here are six steps experts say are necessary for success as an accountable care organization (ACO).

Waivers offer states an opportunity to expand programs beyond traditional services, giving them greater flexibility and innovation in care delivery and payment models.

Insurers have raised concerns about the regulation and approval process of medical devices in the wake of a recent advisory notice issued by the FDA on the risks of laparoscopic power morcellators.

More than 750 government and private ACOs are now in place, helping healthcare transition away from fee-for-service. Find out what's working and what's planned for the future.

Several changes, from new payment models to the "Cadillac Tax," are impacting the health insurance market.

Optum, the UnitedHealthcare subsidiary appointed to fix HealthCare.gov after its troubled launch, will not rebid for a $40 billion contract.

Only 5% of Medicaid-enrolled Americans account for 50% of total Medicaid spending, and the top 1% account for almost 25% of spending, according to a new study from the Government Accountability Office.

Two new polls show majority support for the Affordable Care Act (ACA) including the health insurance tax subsidies now under review by the Supreme Court.

Even though cancer screenings have become more available because of the Affordable Care Act, the percentage of adults getting certain cancer screenings has not increased significantly since 2010.

The Affordable Care Act has led to community-based approaches for super utlilizers like health homes that appear to be making inroads.

Consensus is building on the promise of genetic testing and other technological advances to help individualize testing, prevention and treatment for better outcomes.

Misreporting of data to the Centers for Medicare and Medicaid Services exposes MCOs to civil litigation and administrative penalties.

The number of deaths from prescription pain relievers dropped 5% in 2012, and new tools are helping in the fight against opioid abuse.

The revocation of Blue Shield of California's tax-exempt status raises the question of whether for-profits have a competitive advantage.