Anthem could join other health insurance giants UnitedHealth, Aetna and Humana in no longer offering plans on the Affordable Care Act’s marketplace in many states.

CMS has finalized the rule changing how hospital off-campus facilities are reimbursed within its 2017 hospital Outpatient Prospective Payment System (OPPS) changes, largely ignoring concerns from the American Hospital Association about the impact of site-neutral payment.

The obesity epidemic has become one of the largest health concerns for Americans, with 81 percent claiming it just as serious as cancer. Still, facing early death, heart disease and diabetes, most Americans are unsure of healthy, effective ways to lost weight.

Most hospitals will see an increase in their fiscal year 2017 Medicare Severity Diagnosis-Related Group (MS-DRG) payments under CMS’s Hospital Value-Based Purchasing (VBP) program.

Therap, providers of documentation and electronic billing services, has been integrated with Ohio disability providers to implement the new Flat File feature, giving providers the ability to upload 837 claims to the Ohio Department of Developmental Disabilities eMBS portal.

Home health agencies will receive $130 million less in Medicare reimbursements for 2017, the final year of reductions meant to recoup overpayments dating back to 2000.

Spending more means getting a better quality, right? According to a study analyzing the cost of cancer care and its outcomes shows that expensive is not always the most effective. 

Programs that help customers on the Affordable Care Act (ACA) marketplace buy insurance are being criticized by insurers as they pull out of the exchanges.