A federal lawsuit has focused attention on how the industry uses medical codes for risk adjustment.
The Centers for Medicare and Medicaid Services wants to take its innovation center in a "new direction," but two House Democratic leaders have…
New York will give Aetna a tax break, Medicaid expansion helped beneficiaries' finances, and other industry news.
State attorneys general battling the opioid crisis have turned their attention to payers, without acknowledging the steps they've already taken.
Experts tell FierceHealthcare that claims the Graham-Cassidy protects those with pre-existing conditions do not hold water.
States like Mississippi, Connecticut and Illinois have approved steep rate hikes for ACA exchange plans next year.
Payer organizations must carefully select the provider partners with which they want to share risk.
Oscar Health will get an early jump on advertising for open enrollment, as the federal government scales back its own contributions to the effort.
Republicans' latest ACA repeal-and-replacement bill is headed for a vote on the Senate floor next week—without the support of health insurers.
Though Anthem failed in its bid to buy Cigna, it clearly hasn’t given up on making other acquisitions.