Regulators in Minnesota are trying to recruit health insures to the state's health insurance exchange — MNsure — to address competition concerns in rural areas next year, the Star Tribune reports.
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An Avalere analysis found 36 percent of the U.S.'s approximately 500 rating regions — geographical areas used to set insurance premiums and determine where plans are sold — may only have one participating insurer next year, and in some sub-region counties,…
Pressure to control costs and reduce unnecessary utilization of expensive drugs has led insurers to increasing rely on "step therapy," whereby patients are forced to try cheaper therapies before more expensive ones are covered, even when physicians are convinced the…
President Barack Obama's administration has taken action against duplicate healthcare coverage by which Medicaid enrollees simultaneously receive federal subsidies to help pay for private health insurance under the Affordable Care Act, The New York Times reported.
The Iowa Department of Human Services has waived any possible sanctions against three commercial insurance companies responsible for taking over the state's privatized Medicaid program, reports South West Iowa News.
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CMS has rolled back its efforts to improve transparency into health plans' provider networks in 2017.
Durham-based Blue Cross Blue Shield of North Carolina faced a computer outage Thursday that affected customer service and claims processing systems, ABC11 reported.
CMS is considering new rules to stop healthcare providers who are seeking higher reimbursements from steering patients toward Affordable Care Act individual health plans over Medicare or Medicaid.
At least five health insurance co-ops have sued the federal government since June over issues regarding the Affordable Care Act's risk adjustment program.
Aetna's decision to leave 11 of its 15 Affordable Care Act state exchanges placed a sense of urgency on HHS to bring in more insurers to fill the gaps, Politico reported.