Health Care Reform

Anthem alleged that HaloMD had exploited the resolution process to submit ineligible claims and secure higher out-of-network payment awards.

Big U.S. health insurers are using pharmacy affiliates to get around the Affordable Care Act minimum medical loss ratio requirement, or profitability cap, a team of economists says.

The proposed 2027 regulations would also block California's hearing aid and wheelchair mandates, the state's governor says.

The proposed pay increase "is a step in the right direction, but it does not negate the compounding effects of rising inflation, record levels of uncompensated care and a growing uninsured population," Charlene MacDonald, president and CEO of the Federation of American Hospitals, said in a statement.

Improving provider directories and directory creation tools matters for wound care patients because, "in chronic wounds, time matters," Daniels said

States that use the model would offer the credit to employers with two to 50 employees.