Cerner hit with fourth overtime lawsuit

The supplier allegedly failed to pay overtime to help desk employees who were asked to work 48 hours a week. 

By Nina Flanagan • May 19, 2016

Harken Health digs in, adds health centers in Atlanta, Chicago

UnitedHealth invested $65 million to get Harken Health and its enhanced primary care model up and running.

By Meg Bryant • May 18, 2016

US uninsured rate hits all-time low in 2015

Will 2017's projected premium increases send the 9.1% rate back up?

By Heather Caspi • May 18, 2016

Highmark sues feds for $196M in owed ACA risk corridors payments

The insurer is taking little consolation in the government's promise to backfill payments in future years.

By Heather Caspi • May 18, 2016

Transgender surgery increasingly covered by U.S. employers

One in 10 companies with 500 or more employees cover transgender surgery, according to a recent survey.

By Meg Bryant • May 18, 2016

HHS issues rule against transgender discrimination

Here's what providers need to know.

By Julie Henry • May 18, 2016

Oscar requests an individual plan rate increase of up to 30%

The insurance darling said the proposed increase is due to rising medical costs and shuttering government financial assistance.

By Ana Mulero • May 18, 2016

Will Medicaid expansion holdouts finally give in?

HHS Secretary Sylvia Burwell cites two main reasons why non-expansion states will eventually get on board.

By Julie Henry • May 18, 2016

Oklahoma makes surprising move towards Medicaid expansion

With a gaping $1.3 billion budget hole, Oklahoma embraces Medicaid expansion after years of strong ObamaCare resistance. 

By Nina Flanagan • May 17, 2016

Losses on ACA plans doubled in 2015, analysis finds

As filings become available, about 650 counties are expected to have only one ACA plan option in 2017, compared to 225 in 2016.

By Heather Caspi • May 17, 2016

JAMA study: More exercise, less risk for cancer

About 2.5 hours of moderate physical activity a week can help lower risk of 13 cancer types, the research found.

By Nina Flanagan • May 17, 2016

Mobile wellness app execs weigh in on 'Biggest Loser' obesity study

The research shines a light on the need for incremental behavioral changes when trying to lose weight, wellness innovators stated.

By Jeff Byers • May 16, 2016

One Maryland insurer wants to raise individual plan rates by nearly 30%

State insurers are beginning to release their proposed individual premium rates...and they don't look cheap.

By Heather Caspi • May 16, 2016

Blue Cross affiliate, behavioral health startup aim to integrate care, referrals

Highmark, with 5.2 million enrollees in Pennsylvania, Delaware, and West Virginia, will first roll out the behavioral health program in western Pennsylvania.

By Heather Caspi • May 16, 2016

EEOC issues final rules for employer wellness programs

The rules, which go into effect in 2017, provide guidance on wellness data privacy and program incentives.

By Jeff Byers, Ana Mulero & Kathryn Moody • May 16, 2016

SCOTUS kicks ACA contraception case back to lower courts

A compromise to separate religious organizations from providing birth control appears in sight.

By Heather Caspi • May 16, 2016

ACA markets still tenuous, former HHS head Sebelius says

Premiums may rise next year and insurers internally debate whether to exit or expand markets.

By Meg Bryant • May 13, 2016

Study: Quit smoking and healthcare costs will plummet

According to the study, $63 billion could be saved if every state reduced smoking rates by 10%.

By Meg Bryant • May 13, 2016

OIG takes HHS to task over $125B in Medicare improper payments

The report found HHS did not fully comply with several requirements for reducing improper payments last year.

By Meg Bryant • May 13, 2016

Humana adds at least 2 states to ACA market departures

At least 26,000 enrollees will need new coverage for 2017.

By Heather Caspi • May 12, 2016

California projects 8% increase in 2017 ACA premiums

The number may be on the low end compared to other states.

By Heather Caspi • May 12, 2016

Insurers seek value-based drug prices

With U.S. prescriptions climbing to almost $425 billion in 2015, insurers want to see performance.

By Heather Caspi • May 12, 2016

Less than 1% of rural Medicare beneficiaries benefit from telemedicine, study says

The majority of rural telemedicine visits for those with Medicare occurred in outpatient clinics for mental health services.

By Nina Flanagan • May 12, 2016

Pay for performance fails to improve patient outcomes, study finds

Lack of evidence of improved outcomes held true even when the researchers looked at subgroups of hospitals and poor performers.

By Meg Bryant • May 11, 2016

GAO: Medicare failing to curb overbilling by Advantage plans

The report found risk adjustment data validation has cost the government about $117 million for audits while recouping only $14 million.

By Heather Caspi • May 11, 2016