All News

Another day brings another delay for the federal health law known as the Affordable Care Act.

In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.

Patients with diabetes who received prescribed heart medications by mail were less likely to visit the emergency room than those who picked up prescriptions in person, according to a new Kaiser Permanente study published in the American Journal of Managed Care.

Beyond keeping patients well, today's healthcare providers must keep them happy.

The Obama administration plans to push back by a month the second-year start of enrollment in its health program to give insurers more time to adjust to growing pains in the U.S. law, a move that may stave off higher premiums before the 2014 congressional elections.

To ease insurance sign-ups that have been slowed by federal website problems, CMS officials have announced that individuals and families now can enroll for exchange health plans directly through insurers and still qualify for a federal premium subsidy.

While the Affordable Care Act (ACA) aims to reform healthcare nationally, the way in which the law is implemented will vary on a state-by-state basis.

Health information technology (HIT) innovation will positively impact and enhance physicians' ability to deliver effective care.

As Americans have begun shopping for health plans on the insurance exchanges, they are discovering that insurers are restricting their choice of doctors and hospitals in order to keep costs low, and that many of the plans exclude top-rated hospitals.

Oregon, a state that fully embraced the Affordable Care Act, is enduring one of the rockiest rollouts of President Barack Obama's signature health care law, with an inoperative online exchange that has yet to enroll a single subscriber, requiring thousands to apply on paper instead.

You get what you pay for: That old saw applies to most corners of American consumerism, but not to healthcare. Convincing people of that is tough.

Pharmacy Times, The American Journal of Managed Care, and the Convenient Care Association presented a panel discussion on how the Affordable Care Act is affecting the health care landscape and opportunities it is offering to retail clinics.

Just as a looming physician shortage threatens the effective treatment of millions of newly insured, patients may face another barrier: not enough doctors are participating in the healthcare insurance exchange networks.

Many doctors are disturbed they will be paid less -- often a lot less -- to care for the millions of patients projected to buy coverage through the health law's new insurance marketplaces.

Supporters of a soon-to-be law that creates an optional new class of FDA-certified compounding pharmacies are cautiously optimistic newly passed legislation will prevent future public health crisis.

Last March, a report sent to the Centers for Medicare & Medicaid Services (CMS) revealed that the government had received warnings that the healthcare exchange website did not meet certain key requirements for successful rollout.

The administration was warned last spring that its website didn't meet key requirements for a successful rollout, including relying too heavily on outside contractors, according to a copy of a Red Team report.

Growth in global prescription drug spending will slow to the lowest rate in decades as low-cost generic drugs continue replacing former blockbusters in the U.S. and Europe, where governments face new pressure to reduce healthcare spending, according to a new forecast.

More than 200 participants gathered in Baltimore for "Patient-Centered Oncology: Real-World Perspectives," which covered genetic testing, how to engage patients in decision-making, and how the "culture of medicine" continues to drive up costs despite calls to abandon the fee-for-service payment model.

Seeking to defuse a growing political furor as millions of Americans receive cancellation notices from health insurers, the Obama administration will not require insurance companies to upgrade existing individual plans to meet the requirements of the federal healthcare law for 2014.

Capping federal Medicaid spending, raising the eligibility age for Medicare, and bundling Medicare payments to healthcare providers are some of the federal spending reduction possibilities included in a report by the Congressional Budget Office released Wednesday.

California has mistakenly sent letters to 246,000 low-income residents, warning they may need to find new doctors next year under the state's newly expanded Medicaid program.

Finding a health plan on the Medicare website could be troublesome for some seniors.

At The American Journal of Managed Care's (AJMC's) Patient-Centered Oncology Care: Real-World Perspectives (PCOC) conference, held November 14-15 in Baltimore, MD, discussion squarely centered on the ideals of making oncology care more patient-focused.

More hospitals are receiving penalties than bonuses in the second year of Medicare's quality incentive program, and the average penalty is steeper than it was last year, government records show.

Researchers who want to study population health using the vast stores of Medicare and Medicaid data will no longer have to order it and wait for the federal government to ship them encrypted data files.

Supporters and opponents of the federal health law still can't decide whether to call it the woodwork or welcome mat effect - the millions of people currently eligible for Medicaid who are not enrolled and who are expected to sign up as a result of the Affordable Care Act.

With millions of consumers getting cancellation notices for their current health plans, President Obama announced Thursday that he will encourage insurance companies to continue offering their customers the same health plans next year.

Patient-Centered Oncology Care: Real World Perspectives will take place November 14-15 at the Royal Sonesta Harbor Court, Baltimore. This two-day conference, which features an evening networking reception, will bring together key leaders in managed care and beyond. All will share how the goals of better care, savings and fair compensation can be achieved, even in the world of oncology.

Health and Human Services Secretary Kathleen Sebelius announced enrollment numbers today for the federal and state online health insurance marketplaces that opened Oct. 1. Medicaid enrollment data were also released.