Health Care Delivery

The concept of clinical nuance-among others-is highlighted at the University of Michigan Center for Value-Based Insurance Design's annual Summit.

After the disastrous rollout of the healthcare exchanges last October, Kathleen Sebelius has hit the road to pump up enrollment-and it just might be working.

Bundled payments are a step in the right direction when it comes to moving away from a fee-for-service payment structure. They have been proved to cut costs, and providers are responding by producing significantly better outcomes. naviHealth, a postacute care benefit manager, will test one bundled payment model using 11 hospitals in 5 states.

A US Health and Human Services Department (HHS) proposal aims to ease the concerns of consumers who remain frustrated with the health insurance exchanges (HIEs). The plan includes a variety of new insurance standards that would improve the consumer experience of shopping for a health insurance plan on the state and federal exchanges.

Cancer patients relieved that they can get insurance coverage because of the new health care law may be disappointed to learn that some the nation's best cancer hospitals are off-limits.

The ambiguous results of the Pioneer ACO evaluation could undermine the case for experimentation, and deter policy makers from moving forward as urgently as they must in order to improve on the ACO model. But it shouldn't.

The Obama administration issued sweeping new proposed rules late Friday affecting provider networks in insurance exchange plans, consumer access to quality information about plans, selection of plans in the small business exchanges, state rules on enrollment navigators, and reinsurance and medical loss ratios for insurers.

Participants in the federal high-risk pool created in the health law will have another month to find coverage, the Obama administration announced Friday.

The risk corridor program, a controversial provision of the Affordable Care Act (ACA), received $5.5 billion in federal funding on Friday.

The Obama administration is requiring health plans in Obamacare insurance marketplaces to include a more robust offering of care providers in 2015 after some early backlash over limited networks in the health care law's first year.

Friday's session of the National Comprehensive Cancer Network's 19th Annual Conference: Advancing the Standard of Cancer Care, featured a well-attended roundtable, The Affordable Care Act: Where Are We Now? Moderated by Clifford Goodman, PhD, of The Lewin Group, the wide-ranging discussion featured panelists Christian G. Downs, JD, MHA, Association of Community Cancer Centers; Liz Fowler, PhD, JD, Johnson & Johnson; Michael Kolodziej, MD, Aetna; Lee H. Newcomer, MD, MHA, UnitedHealthcare; Mohammed S. Ogaily, MD, Henry Ford Health System; W. Thomas Purcell, MD, MBA, University of Colorado Cancer Center; and John C. Winkelmann, MD, Councillor, American Society of Hematology, Oncology Hematology Care, Inc.

The Sustainable Growth Formula (SGR) Repeal and Medicare Provider Payment Modernization Act has been framed as a bipartisan solution to establishing a permanent doc fix. The only problem, it seems, is how Congress will pay for the SGR's elimination.

The White House has decided to reverse roughly $10 billion in cuts to the cost-sharing subsidies that were part of the Patient Protection and Affordable Care Act. That program was originally expected to be slashed by 7.3 % in fiscal 2015 and beyond as part of the sequester cuts.

Criminals are stealing patient records to commit medical identity theft. And the Affordable Care Act (ACA) has made the situation worse, according to a new report from privacy and information security research firm Ponemon Institute.

Health insurance companies across the country remain wary of setting their health plan prices for the 2015 insurance exchanges due to a lack of data needed to make evidence-based decisions.

Health plans with narrow provider networks-which met with fierce backlash from patients and providers during the last go-around in the 1990s-are once again vulnerable to negative public opinion and legislative action.

Behind MNsure's upbeat facade was a swamp of management failures and technical glitches that crippled the more-than $100 million website.

Nearly 950,000 Americans selected a health insurance plan through the state and federal exchanges in February. That brought the total to 4.2 million with one month left in the open enrollment period.

he lower chamber is expected to vote on legislation that would permanently repeal Medicare's sustainable growth-rate formula for physician payment, which might also include a provision to either repeal or delay the ACA's individual insurance mandate as a way to pay for the SGR fix.

With just three weeks left to sign up under President Barack Obama's healthcare law, a major survey tracking the rollout finds that the uninsured rate keeps going down.

Just in case Congress doesn't pass President Barack Obama's fiscal 2015 budget plan, officials at the Department of Health and Human Services say they have other options for finding the money they need to implement the health care law.

Open enrollment for the 2014 state and federal health insurance exchanges will end this month, but various findings contest their anticipated success.

President Barack Obama is proposing more than $400 billion in cuts to Medicare over the next decade in his fiscal 2015 budget, an almost identical amount to what he recommended last year. But those cuts are heavily weighted toward future years, with only $3.5 billion occurring in 2015.

The Republican-led House of Representatives voted on Wednesday to delay for one year the tax penalty Americans will pay under President Barack Obama's healthcare law if they decline to enroll in health coverage for this year.

For state exchanges still struggling to function, and governors facing the consequences, the Centers for Medicare & Medicaid Services is offering an exception to the rule of tax credits only being available through public marketplaces.

Health policy advisors and advocates are shifting their focus to the possibilities of telehealth, which would allow physicians to treat patients virtually. Health experts suggest that this emerging health frontier could be promising, especially for patients who are immobilized or who live in remote locations.

The ObamaCare exchanges have reduced the choice of and increased the price of insurance polices when compared to what existed in 2013 on the individual market, says a just-released study.

It's one of the most impressive statistics about the new health care law. The Obama administration says more than 8.9 million people have been, quote determined eligible for Medicaid from Oct. 1 through the end of January.