Health Care Delivery

The health insurance industry will be closely watching on Friday when the CMS is scheduled to release initial guidance on Medicare Advantage rates for 2015.

Most states are still lagging when it comes to sign-ups under President Obama's health care law, but an Associated Press analysis of numbers reported Wednesday finds a dozen high-achievers getting ahead of the game.

Current reform efforts seek to tie providers' pay with performance, yet a recent finding suggests that less than 15% of internal medicine residency programs provide education that focuses on such training.

Federal regulators are trying to set expectations and a tentative schedule for public exchange plans in 2015; they're also proposing a new approach to network adequacy and essential community providers, after complaints from consumers and providers in a few markets.

Measuring the patient's experience of care will help EMS be perceived as modern healthcare providers.

Select employers will have until January 1, 2016, to comply with a health insurance mandate under the Affordable Care Act(ACA). Originally, employers with 50 to 99 workers would have faced a penalty if they did not offer health insurance to their employees in 2014.

Earning Too Little for Health-Law Subsidies but Ineligible for Benefits Under Existing Medicaid Programs

Arkansas' plan for expanding Medicaid by buying private insurance policies for the poor instead of adding them to the rolls was heralded as a model for convincing more Republican-leaning states to adopt a key part of President Barack Obama's health care overhaul.

Here's more fodder for the debate over whether older, sicker members will swamp insurance plans created by the Affordable Care Act.

Residents across Indiana are treading lightly when considering buying health insurance through the federal health exchange as they move toward a March 31 deadline to enroll.

New Medicaid patients in Oregon failed to use their benefits effectively because they did not understand how to use insurance or health care, according to a study.

The Obama administration said Friday that it is considering ways to extend into 2015 efforts to prevent consumers whose health coverage changes from suddenly losing access to particular doctors.

Legislatures across the country are considering proposals to address fallout from implementation of the Patient Protection and Affordable Care Act.

The Obama administration on Thursday reported what it called encouraging results from efforts to reduce healthcare costs and improve the quality of care for more than 5 million Medicare beneficiaries under Obamacare

Three provisions in the health law that proponents say are designed to help insurers manage the financial risk of taking all comers while keeping premiums affordable are under fire on Capitol Hill, with Republicans labeling them as giveaways to the health insurance industry.

Barack Obama used the State of the Union address as an opportunity to advise uninsured Americans about enrolling for exchange coverage before the March deadline-avoiding the more sensitive topics of problems with the Healthcare.gov website and cancelled insurance plans.

President Barack Obama on Tuesday night touted the results of his 2010 healthcare overhaul and urged every American who knows someone without health insurance to help them get covered by the end of March.

The Basic Health Plan (BHP) may have counterproductive results.

Republicans have offered a wide array of proposals to "repeal and replace" the Affordable Care Act since it became law in 2010. But few have come with the pedigree of the plan just unveiled by a trio of senior Senate Republicans.

Significant disparities are developing in states' success at signing up individuals for coverage through the state and federal exchanges, according to a new analysis, and the gaps don't consistently reflect which states have embraced or opposed the Patient Protection and Affordable Care Act.

Thirty-five percent of Hendry County's 33,000 residents under age 65 lack health insurance, according to the latest census figures, much higher than Florida's 25 percent average, which is the nation's second highest state rate.

Democratic Gov. Terry McAuliffe's administration says the state would save money instead of spending it by implementing the new federal health care law.

It's been nearly 1 month since the federal and state health exchanges opened, and enrollment numbers are beginning to roll in.

One of the regulations of the Affordable Care Act is to provide access to free preventive care, but many Americans are discovering that there are coverage exceptions and additional fees that come with certain services.

Conference Coverage: Diabetes Innovation

Enrollment in the health law's marketplaces surged in December, and the administration's report on the numbers made headlines on Monday - but the national story isn't the whole story.

As policymakers consider ways to slow the growth in Medicare spending as part of broader efforts to reduce the federal debt or offset the cost of other spending priorities, some have proposed to increase beneficiary contributions through higher Medicare premiums.

People seeking urgent medical could face longer wait times and other challenges as demand increases under Obamacare, U.S. emergency doctors said in a report on Thursday that gives the nation's emergency infrastructure a near failing grade.

Patients at high risk - including those with cancer, diabetes, and cardiovascular disease - will be covered under the Pre-Existing Condition Insurance Plan (PCIP) until March 31, thanks to a decision this week from the Department of Health and Human Services.