Clinical CareEven When HIV Prevention Drug Is Covered, Other Costs Block Treatment
In addition to the ancillary charges, other roadblocks persist for people who need prescription pre-exposure prophylaxis.
FinanceACA's 'Cadillac Tax' Could Hit 20% of Employer-sponsored Health Plans
The levy caps the amount of untaxed health benefits employers can provide to their workers with the goal of slowing...
Hospital Pass-through Billing Scheme Detailed in Florida Plea Agreement
Kyle Marcotte of Jacksonville Beach admitted to using rural hospitals in a scheme that kicked back more than $50 million...
StrategyACA Opponents Celebrate as Appellate Judges Appear Receptive to Their Arguments
Two of the three judges on the panel signaled some sympathy for the arguments raised by the Texas-led group of...
FinanceEmployee Benefits Expert Expects HRA Rule to 'Shake Up' Insurance Markets
Cowden Associates CEO Elliot Dinkin said the new rule issued by the Trump administration could have a wide-ranging impact.
Millionaire CEO of Nonprofit Hospital That Sues the Poor Promises Review of Policies
Methodist Le Bonheur Healthcare promised a policy review after an investigation by MLK50 and ProPublica found it had sued 8,300...
FinanceACA Risk Adjustment Program 'Operated Smoothly' in 2018, CMS Says
The agency released data showing what it described as the program 'working as intended' to redistribute financial resources according to...
StrategyBCBS Minnesota Buys Minority Stake in North Memorial Health Clinics
The ownership structure aims to lower care costs by up to 20% over five years, by focusing on value-based care.
StrategyStem Cell Company Persuades Employers To Steer Workers Toward Controversial Therapy
Instead of dealing with disapproving insurance executives, Regenexx appeals directly to employers large enough to fund their own health plans.
Invalidating the ACA Would Eliminate Health Insurance for 20M People
Urban Institute study finds low-income, working people in Medicaid expansion states would be hardest hit.
StrategyFeds OK Blue Cross Blue Shield's Vantage Acquisition in Louisiana
One reason why the deal won't harm competition is because certain Vantage health plans on the ACA exchange are already...
You Say 'Network Matching,' I Say 'Arbitration'
Witnesses at Senate hearing disagree on solutions for surprise billing.