Author: Jakob Emerson

Insured children diagnosed with complex medical conditions experience higher rates of out-of-network care and cost-sharing payments compared to children with no chronic disease, according to a study published March 7 in Medical Care.

A March 10 report from America's Health Insurance Plan's ​​Center for Policy Research provides the total number of individuals per state enrolled in a Medicare Supplement plan.

  The high cost of cancer care is leading many cancer patients and survivors to make major lifestyle changes and take on large amounts of medical debt, according to a survey released March 17 by the American Cancer Society Cancer…

Here's what four payer CEOs earned in 2021, based on proxy statements released so far this year:

Congress recently extended telehealth flexibilities nationwide until the end of 2022, and now some federal agencies are planning for what comes next.

The CalOptima board of directors unanimously approved a $100 million, five-year strategic plan that includes implementing same-day treatment authorizations and real-time claims payments for providers.

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…