CMS is asking for comments on what it should do about healthcare providers that steer Medicare and Medicaid-eligible patients towards marketplace plans in order to receive higher reimbursement.

While the Affordable Care Act (ACA) and its expansion of Medicaid lowered the number of Americans without health coverage, millions are still uninsured, and a new study from the Commonwealth Fund aimed to identify who they are and why they aren’t covered.

The effects of major insurers—such as UnitedHealth, Humana and, most recently, Aetna—departing from some state health insurance exchanges will depend largely on where consumers live.

Duke University professors Kevin Schulman, MD, and Barak Richman, JD, PhD, called on the CMS Innovation Center to focus on telemedicine and wearable devices, rather than accountable care organizations (ACOs) which integrate hospitals, to reduce the cost of care.

A letter from Aetna CEO Mark Bertolini obtained by the Huffington Post appears to contradict the insurer’s stance that pulling out of 11 Affordable Care Act (ACA) exchanges wasn’t connected to the government’s antitrust lawsuit against its proposed merger with Humana.

Health plans purchased through the marketplace might be disproportionately damaging to women, according to a new study from the National Women’s Law Center. 

Despite CMS efforts to tout its new Medicare star ratings system as a transparency move and a consumer-benefiting action, not everybody is on board yet.

The Centers for Disease Control and Prevention (CDC) are telling children younger than 5, adults over 65 and pregnant women to avoid close contact with pigs at agricultural fairs after four cases of swine influenza infecting people were confirmed in Michigan and Ohio.