Author: Jakob Emerson

A circuit court judge has sided with HHS over a payer's challenge to risk-adjustment rules, according to court documents filed March 17.

A March 18 brief from America's Health Insurance Plans recommends value-based care plans to improve maternal health outcomes and costs.

There is no correlation between CMS' Comprehensive Primary Care Plus Initiative and increased care continuity or decreased fragmentation of care among Medicare beneficiaries, according to a March 9 study in the American Journal of Managed Care.

CMS is proposing rules to the Office of Information and Regulatory Affairs that would impose fines of $1,000 per day against people and organizations that fail to report settlements with Medicare enrollees who allocate funds to future medical services, according…

In a first-time move, the Illinois Department of Insurance is fining Blue Cross Blue Shield of Illinois for failing to provide information to the state after its contract termination with Springfield Clinic.

HHS says it's examining risk adjustment practices that may have led to billions in Medicare Advantage overpayments.

The American Medical Association is speaking out against a recent report from the Medicare Payment Advisory Commission that recommends a continuation of the freeze on Medicare physician fee payment rates.

A coalition of payers, health systems and public entities are partnering to boost health equity and outcomes in Philadelphia.

The U.S. Census Bureau released American Community Survey health coverage data March 17 that shows which states have the largest uninsured populations as a percentage of their total population. 

Anthem won't have to face a lawsuit for now that alleges the payer under-reimbursed Tampa, Fla.-based air ambulance company Jet ICU for providing out-of-network services to a beneficiary.