Given the influence that social factors have on health outcomes, state Medicaid agencies must weave social interventions into their coverage, payment and…
Federal investigators have launched a criminal investigation into Alere’s billing practices for drug testing claims submitted to Medicare.
Kentucky Gov. Matt Bevin’s plan to revamp the state’s Medicaid program sets the stage for a standoff between him and federal health officials.
Health insurer Oscar, which is looking to disrupt the industry using data, plans to raise 2017 premiums for its New York plans while scaling back provider…
Restructuring the ACA's "family glitch" would help control costs for low-income families and stabilize state exchanges with an influx of younger…
Moving from paper to electronic records--or from one EHR to another--did not hurt short-term outcomes in Boston.
One of the main facets of Anthem's argument for its merger with Cigna appears to be the deal’s potential benefits for the public exchange market.
UnitedHealth and Aetna are poised to join the Medi-Cal market in San Diego and Sacramento counties.
A commonplace practice of automatically enrolling members in Medicare Advantage is facing regulatory scrutiny following consumer complaints.
Data analytics is an indispensable tool in the government’s quest to root out healthcare fraud, Gejaa Gobena tells FierceHealPayer.