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Coupons and vouchers for name-brand prescription drugs claim to cut costly out-of-pocket expenses, but they actually may be doing very little to control prices.

Medicine is unique in being the one profession that never teaches even its recruits how they, or the services they deliver, are paid and importantly, by whom.

A study estimates that total annual costs for five major health care-associated infections (HAIs) were $9.8 billion, with surgical site infections contributing the most to overall costs, according to a report.

A new joint program between the University of California, Los Angeles (UCLA) and the University of Southern California (USC), demonstrates a way to mend the system with a new patient-centered program that is getting raves from patients, as well as the residents and nurses who provide their care.

Premium rates for health plan policies in the health insurance exchange (HIE) are expected to vary nationally, but they aren't likely to skyrocket - at least according to one research group.

Fearing Obamacare will drastically increase the cost of health insurance policies next year, some employers are turning to new strategies to blunt or at least delay the "rate shock."

A new poll conducted by the American College of Physician Executives has found that doctors are almost evenly divided on whether or not Medicare payment data should be made public.

As insurers prepare to implement a law designed to make health coverage affordable, insurance rates are dramatically increasing.

Accountable care organizations (ACOs) and other coordinated care models present opportunities for improving quality as well as offering incentives that will drive lower-cost decision making among providers

Hospitals, nurses, doctors and other medical providers urged New Hampshire on Tuesday to expand Medicaid to an estimated 49,000 poor adults under the federal health care overhaul law.

Darius Lakdawalla, PhD, addresses the value of diabetes patients' adherence in this clip.

The U.S. health care bureaucracy is expanding; both dramatically (e.g. the implementation of the Affordable Care Act) and gradually. A recent decision proposed by the Centers for Medicare & Medicaid Services (CMS) exemplifies the dangers to medical innovation and patients represented by the gradual expansion of the health care bureaucracy.

Predictions of sharp increases in health-insurance premiums for people getting coverage under the U.S. Affordable Care Act have been overstated and many states will see little to no change, researchers at Rand Corp. found.

The Obama administration has delayed a step crucial to the launch of the new healthcare law, the signing of final agreements with insurance plans to be sold on federal health insurance exchanges starting October 1.

Debated and despised, the Medicare physician payment formula may finally be on the way out at least that's what AMA President Ardis Hoven believes.

Amitabh Chandra, PhD, says health reform affects patient-centered diabetes care through two different interventions.

As healthcare costs rise in Florida, insurers and hospitals vested in the success of the Affordable Care Act, are coming up with new ways to cut costs from buying services in bulk and piloting programs to lowering hospital readmission rates and limiting the number of doctors within a plan's network.

As states work on implementing the complex federal health care reforms, some have begun tackling an issue that has vexed employers, individuals and governments at all levels for years - the rapidly rising costs of health care.

Driving value-based care through incentives that reward lower-cost delivery measures showed promising results in a recent study.

Only 6 states across the country are currently receiving funds through the Affordable Care Act (ACA) provision intended to increase Medicaid managed-care payments to meet Medicare payment levels.

Medicare may enjoy the fruits of the growing and varied work among private payers and providers to boost value in healthcare, though the benefits will come sooner to costs than quality, a study suggests.

Tomas Philipson, PhD, says historical reform efforts in the United States have raised doubts as to whether or not the implementation of the Affordable Care Act will slow health spending growth. Dr Philipson also suggests that concepts of value-based insurance design must be considered differently when managing a chronic condition like diabetes.

As congressional Republicans push for a delay in the 2010 health law's individual mandate, the Obama administration Tuesday announced final regulations implementing the requirement that most Americans have health insurance coverage by Jan. 1 or pay a fine.

This year's Modern Healthcare ranking of the 100 Most Influential People in Healthcare includes 15 newcomers as well as seven leaders who have been on every list since it started in 2002.

Could Medicare payment models impact a physician's decision to prescribe cancer drug supplements? A recent study from The American Journal of Pharmacy Benefits published new findings that say they can.

As American workers prepare for the first open enrollment season of the Obamacare era, hints are surfacing about what awaits them - higher deductibles, more incentives for staying well and premium hikes that continue to out-strip wages, albeit by more moderate amounts than in the past.

Facing anticipated reductions in funding and regulatory changes under the health care reform law, several of the nation's largest health insurers have indicated plans to scale back their Medicare Advantage programs.

They are bare-bones health plans, and critics say they could leave consumers who become seriously ill on the hook for tens of thousands of dollars in medical costs.

Adhering to the best practices in cancer care may be the answer many oncologists have been looking for, at least according to one hospital's findings.

The nation as a whole is facing a physician shortage. The Association of American Medical Colleges estimates that the United States will have a shortfall of 90,000 physicians within the next decade.