A little over a year ago, California’s insurance commissioner began investigating Aetna for possibly denying care coverage without reviewing the records of a patient who’d filed a lawsuit. Now the company has agreed to an out-of-court settlement.

Healthcare is a major voter issue, but many Americans tend to trust Democrats more than Republicans in this area heading into the 2020 election, according to a new poll from the Associated Press-NORC Center for Public Affairs Research.

HHS and CMS have launched a set of new payment models, dubbed the Primary Cares Initiative, that aim to transform primary care through value-based options. The new models will also test financial risk and performance-based payments for primary care practitioners and clinicians.

Ten years from now, more than 14 million middle-class Americans will be elderly, mobility-limited and in need of more healthcare services and specialized senior housing than they’ll be able to afford.

Medicare’s site-neutral policy, which pays outpatient hospital sites like they’re independent doctors’ offices, is turning out to be as unpopular in practice as it was in theory—as least among hospitals.

A study backing a bill that would greatly increase nurse staffing in Illinois hospitals by mandating certain nurse-to-patient ratios has drawn heat from the Illinois Health and Hospital Association (IHA).

Hospitals in the sixth most populous state stand to save $1.4 billion by collectively adding about 20,000 nurses.

Seven years from now, Medicare Part A will only be able to reimburse hospitals 89% of costs for hospital stays and related services. Twenty years later, the portion CMS can pay will fall to 77%.