In its final report on the 2018 open enrollment period on the Affordable Care Act (AC) exchanges, CMS said 11.8 million people selected or were re-enrolled in a plan. While the final tally combining enrollment from the federal and state exchanges represents a 3 percent decline from the prior year, supporters of the ACA painted it as a positive, considering cuts in outreach and advertising and the push to repeal the law by the Trump administration.

Every year, physician offices may deal with as much as $54 billion in revenue being challenged by insurers, with fee-for-service (FFS) Medicaid being “the most challenging type” of payer to bill, according to a study published in Health Affairs.

Iowa Gov. Kim Reynolds signed legislation into law to allow health plans that don’t comply with Affordable Care Act regulations with a new kind of strategy: Defining some insurance plans as something other than health insurance.

CMS has finalized its rule for 2019 rates for Medicare Advantage and Medicare Part D, giving insurers a bigger-than-expected rate increase while finalizing proposals on expanded supplemental benefits and efforts aimed at fighting opioid addiction.

In a lawsuit aimed at allowing a physician practice to break away from the region’s dominant health system, physicians at the Mecklenburg Medical Group (MMG) have accused Charlotte’s Atrium Health of monopolistic practices that have been harmful to patients and go against its nonprofit mission. Atrium responded by saying the 92 doctors who want to leave will be allowed to do so.

In his first all-staff meeting as director of Centers for Disease Control and Prevention, Robert Redfield, MD, predicted the U.S. could end the AIDS epidemic with tools already available. He also committed the agency’s policies to be rooted in scientific evidence.

California Attorney General Xavier Becerra announced his office has filed an antitrust lawsuit against Sacramento-based Sutter Health, alleging the system used its dominance in Northern California to unlawfully raise prices for services and then used the profits reaped from these practices to grow even larger.

The failure to pass funding for reinsurance and cost-sharing reduction subsidies for the Affordable Care Act (ACA) exchanges and the potential for pharmaceutical-backed changes to the 340B drug discount program are just some of the major issues on the American Hospital Association’s radar this year, according to executive vice president of government affairs Tom Nickels.