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As Americans continue to struggle to afford their medical bills, and some newly insured under the Affordable Care Act find they can’t afford to use the coverage they purchased, finding the “right” health insurance plan is important.

The characteristics of the patients a hospital serves play a huge role in determining the readmission fines, according to a study.

A recent report in JAMA has identified a tipping point that reverses the advantage of cesarean delivery on reducing maternal and infant mortality.

What we're reading, December 9, 2015: the federal government recovered $200 million from state's whose health insurance exchanges faltered; drug cocktails are responsible for majority of drug overdose deaths in Massachusetts; and healthcare organizations are not confident in their ability to share patient data while protecting patient privacy.

The effort comes at a key time: CMS is moving ahead at full steam to require more use of alternate payment models in reimbursement.

Across the US, the states' rates of uninsured individuals can vary dramatically, and while all states have made gains in covering individuals, these 5 continue to have the highest uninsured rates.

A study of the prevalence and treatment of psoriasis in older Americans suggests the presence of economic and racial barriers.

The report comes near the third anniversary of the school shooting in Newtown, Connecticut.

A new test found a noninvasive, simple way to identify which patients are at risk for kidney disease progression.

What we're reading, December 8, 2015: Cigna remains committed to participation in Obamacare exchanges; Puerto Rico demands the US fix healthcare funding disparities; and fewer Americans struggle to pay medical bills.

The appellate division rejected the more serious legal challenge to Horizon's tiered network plan, which came from 17 hospitals left out of the preferred network. The first public employees who will use OMNIA will be eligible for benefits on December 26, 2015.

A Rural Health Committee convened by the National Quality Forum recommended that rural providers should not just be included in quality care programs, they should be required to participate.

Low-carb diets high in animal based foods were more associated with a risk of type 2 diabetes than plant-based diets.

After 5 years of low growth, CMS reports that national health spending grew 5.3% in 2014, which is still slower than most years prior to the implementation of the Affordable Care Act.

What we're reading, December 7, 2015: Mylan is subpoenaed over pricing of generic doxycycline antibiotic products; Congressional hearing this week on drug pricing controversy; new superbug on the rise; and Obamacare penalty for being uninsured may not be enough to get people to sign up.

A new coalition of patient advocacy groups representing more than 10 million patients launched in Washington, DC, with the goal of providing better healthcare for Americans.

This week in managed care, an exclusive report on how Horizon Blue Cross Blue Shield of New Jersey's OMNIA plan will affect maternity patterns; a Senate investigation found Gilead Sciences knew its Sovaldi price was high; and World AIDS Day observes the progress made.

A student-led study shows why patients remain uninsured despite the passage of the Affordable Care Act.

The warnings will address 2 issues: the risk of too much acid in the blood and severe urinary tract infections.

Study looks at how cost-effective 2 drugs that prevent stroke are from a patient's viewpoint.

The deal is the latest in a wave of mega-mergers that are reshaping managed care in the wake of the Affordable Care Act.

The estimate is based on the larger number of Americans now eligible to be treated for high LDL cholesterol, based on guidelines adopted in 2013.

Results come the same week that CDC announced a drop in new cases of diabetes that was confined to white, well-educated Americans.

As the annual meeting of the American Society of Hematology kicks off on Saturday, December 5, 2015, a lot of new clinical data will be presented, practice-changing treatments will be introduced, and new healthcare policies will be discussed.

What we're reading, December 4, 2015: restaurant group sues New York City over salt warnings rule; Turing CEO remains unapologetic over Daraprim price hike; and women face a higher risk of needing costly, long-term care.

Efforts to improve patient safety have reduced hospital-acquired conditions by 17% from 2010 to 2014 and saved 87,000 lives and nearly $20 billion

A measure to delay the unpopular "Cadillac tax," part of President Obama's health reform law, overwhelmingly passed the Senate by a 90-10 vote on Thursday.

In a study published in the Journal of Managed Care & Specialty Pharmacy, the authors present a rating system that includes downstream costs following treatment to estimate the real-world financial impact of the drug.

Results first presented at the American Diabetes Association in June are published. The new drug application has since been filed at FDA.

Electronic health record adoption in US hospitals has progressed well, but small and rural hospitals remain behind and face financial penalties.