Payer

CMS has released a managed care rate setting consultation guide for states to use to determine Medicaid managed care payments in calendar year 2015.

HealthCare.gov CEO Kevin Counihan has said the federal health insurance exchange website will become so user friendly that it will prompt consumers to become "raving fans" of the Patient Protection and Affordable Care Act, according to a Bloomberg report.

Aetna will introduce a new Medicare Advantage HMO plan this month through three Northern New Jersey health networks in 10 Northern New Jersey counties.

The Patient Protection and Affordable Care Act may have ebbed as a midterm elections issue, but nearly 50,000 Americans losing their current health coverage in the coming weeks due to the health reform may swing some voters, according to a…

CMS and state agencies need to work to strengthen standards to ensure adequate access to care services for Medicaid managed care enrollees, according to an HHS Office of Inspector General report.

The Minnesota Commerce Department is getting ready to preview early snapshots of next year's premium rates for the state's health insurance exchange, MNsure, according to a Star Tribune report.

Narrow networks may reduce costs, but they also restrict patient choice. South Dakota voters will head to the polls in October to determine which one of these objectives is more important, as they vote for an "any willing provider law,"…

New York Gov. Andrew Cuomo (D) has signed amendments that will require health insurance companies in the state to provide coverage for ostomy supplies and equipment starting Jan. 1, according to a report from The Wall Street Journal.

The Obama administration is reconsidering its enrollment target for the Patient Protection and Affordable Care Act exchanges next year, HHS Secretary Sylvia Burwell told reporters Wednesday, according to a Los Angeles Times report.

Coverage for medications used to treat rare diseases varies widely across health plans sold through the Patient Protection and Affordable Care Act exchanges, according to a study published in the Journal of Managed Care & Specialty Pharmacy.