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The local group is one of several regional affiliates breaking away because of fears about losing flexibility as the national group begins a consolidation effort to gain more efficiency in operations.
Increased comparative information on health plans is helping consumers shop, says Margaret O’Kane, president of the National Committee for Quality Assurance.
Obese employees at the University of Pennsylvania were promised an insurance premium discount valued at $550 if they lost 5 percent of their weight, but the incentive failed.
The government’s most detailed release of figures shows insurance plan sign-ups beat the Obama administration’s goal for the year.
Some Medicaid plans will now get federal funding for 15 days of inpatient treatment. But Pennsylvania fears the new rule will close a loophole the state has been using to pay for longer stints.
A startup company called BeneStream helps businesses get their low-wage workers on Medicaid to meet the health law's mandate for employers.
CT scans, which are administered more than 85 million times a year, are an important diagnostic tool, but just one can be equivalent to 200 X-rays. Some doctors warn that health providers are not considering possible consequences when ordering the tests.
California is one of several states to pass laws intended to involve caregivers in discussions when patients are hospitalized or discharged.
Even though Medicaid enrollees are more likely to be smokers than the general public, a study published Tuesday in Health Affairs examined state data from 2010 to 2013 and found wide differences in funding of cessation efforts.
The goal is to improve health and potentially reduce spending.
The plans can help workers cover their high deductibles, but the policies also have limitations.
When you call an ambulance, you expect to go to the nearest hospital. But patients are often diverted to more distant emergency rooms. Cleveland wants hospitals to stop the practice.
Even savvy consumers stumble over terms like “coinsurance.”
Some insurers are betting that lowering the barrier to seeing a doctor will encourage people to get needed care sooner. If it works, the health plans could save more than they spend on the benefit.
Poverty and mental illness are among problems keeping about two-thirds of those infected — mainly minorities — from receiving treatment.
The health law waived Medicare’s Part B deductible and dropped the 20 percent copayment for the preventive tests.
An Orange County, California hospital system is posting doctors at supermarkets to help customers make healthier choices. It’s part of a larger national effort among hospitals to improve community health outcomes.
Two physician groups say the government’s regulations for out-of-network emergency care payments will cost consumers more because insurers will pay less.
Two western states — California and Oregon — have passed laws allowing pharmacists to prescribe birth control. Public health advocates see it as a way to expand access to the pill, and many doctors say it’s safe. But others argue these measures don’t go far enough.
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