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Much of the healthcare spotlight has been squarely focused on the federal and state implementation of the Affordable Care Act (ACA). Yet, there is another fundamental shift in policy that is occurring at the private level that will change the way health insurance is offered to consumers.

Research on how tools impact health, costs is 'inconclusive,' but clinicians say better-informed patients avoid unnecessary care, frustration

Limited provider network options in the healthcare insurance exchange are causing concern that is not unlike the backlash managed care organizations received in the 1990s.

Officials in at least a half dozen states are pushing back against health plans in the new insurance markets that limit choice of doctors and hospitals in a bid to control medical costs.

Almost 80 million people with employer health plans could find their coverage canceled because they are not compliant with ObamaCare, several experts predicted.

As the CMS begins the second year of a penalty program for preventable hospital readmissions required by the healthcare reform law, new research indicates that hospitals fare better when they focus on patient care more generally rather than targeting specific conditions, such heart failure, or specific timeframes, such as 30 days post-discharge.

23andMe Inc., the Google Inc.-backed DNA analysis company co-founded by Anne Wojcicki, was told by U.S. regulators to halt sales of its main product because it's being sold without marketing clearance or approval.

The aftershocks of states choosing not to expand their Medicaid programs are being felt nationwide.

The spending slowdown is about more than the recession (which ended in 2009) -- it's also structural, a significant part of the slowdown can be tied to the impact of the Affordable Care Act.

Another day brings another delay for the federal health law known as the Affordable Care Act.

In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.

Patients with diabetes who received prescribed heart medications by mail were less likely to visit the emergency room than those who picked up prescriptions in person, according to a new Kaiser Permanente study published in the American Journal of Managed Care.

Beyond keeping patients well, today's healthcare providers must keep them happy.

The Obama administration plans to push back by a month the second-year start of enrollment in its health program to give insurers more time to adjust to growing pains in the U.S. law, a move that may stave off higher premiums before the 2014 congressional elections.

To ease insurance sign-ups that have been slowed by federal website problems, CMS officials have announced that individuals and families now can enroll for exchange health plans directly through insurers and still qualify for a federal premium subsidy.

While the Affordable Care Act (ACA) aims to reform healthcare nationally, the way in which the law is implemented will vary on a state-by-state basis.

Health information technology (HIT) innovation will positively impact and enhance physicians' ability to deliver effective care.

As Americans have begun shopping for health plans on the insurance exchanges, they are discovering that insurers are restricting their choice of doctors and hospitals in order to keep costs low, and that many of the plans exclude top-rated hospitals.

Oregon, a state that fully embraced the Affordable Care Act, is enduring one of the rockiest rollouts of President Barack Obama's signature health care law, with an inoperative online exchange that has yet to enroll a single subscriber, requiring thousands to apply on paper instead.

You get what you pay for: That old saw applies to most corners of American consumerism, but not to healthcare. Convincing people of that is tough.

Pharmacy Times, The American Journal of Managed Care, and the Convenient Care Association presented a panel discussion on how the Affordable Care Act is affecting the health care landscape and opportunities it is offering to retail clinics.

Just as a looming physician shortage threatens the effective treatment of millions of newly insured, patients may face another barrier: not enough doctors are participating in the healthcare insurance exchange networks.

Many doctors are disturbed they will be paid less -- often a lot less -- to care for the millions of patients projected to buy coverage through the health law's new insurance marketplaces.

Supporters of a soon-to-be law that creates an optional new class of FDA-certified compounding pharmacies are cautiously optimistic newly passed legislation will prevent future public health crisis.

Last March, a report sent to the Centers for Medicare & Medicaid Services (CMS) revealed that the government had received warnings that the healthcare exchange website did not meet certain key requirements for successful rollout.

The administration was warned last spring that its website didn't meet key requirements for a successful rollout, including relying too heavily on outside contractors, according to a copy of a Red Team report.

Growth in global prescription drug spending will slow to the lowest rate in decades as low-cost generic drugs continue replacing former blockbusters in the U.S. and Europe, where governments face new pressure to reduce healthcare spending, according to a new forecast.

More than 200 participants gathered in Baltimore for "Patient-Centered Oncology: Real-World Perspectives," which covered genetic testing, how to engage patients in decision-making, and how the "culture of medicine" continues to drive up costs despite calls to abandon the fee-for-service payment model.

Seeking to defuse a growing political furor as millions of Americans receive cancellation notices from health insurers, the Obama administration will not require insurance companies to upgrade existing individual plans to meet the requirements of the federal healthcare law for 2014.

Capping federal Medicaid spending, raising the eligibility age for Medicare, and bundling Medicare payments to healthcare providers are some of the federal spending reduction possibilities included in a report by the Congressional Budget Office released Wednesday.