In a case brought by Bond, Schoeneck & King, the Albany County Supreme Court has overturned hundreds of millions of rate cuts implemented at the direction of the New York State Department of Health.

Optimizing risk adjustment would improve health equity, says the American College of Physicians (ACP) in a new policy paper published today. "Modernizing Risk Adjustment in Health Care: A Path to ...

HARRISBURG, Pennsylvania, May 9-- The Pennsylvania House Democrats issued the following news release dated May 6, 2024: State Rep. Arvind Venkat's bill that would require health insurers to offer ...

The U.S. health care reimbursement system was built for a different era — one that prioritized high-stakes “cure” interventions over the nuanced “care” interventions better suited to the ongoing needs ...

While health plans often employ reimbursement rates as a tool to incentivize provider participation within their networks, study results showed reimbursement rates for office visits with ...

There are 3 ways to make the US health care system more efficient and sustainable: address its burdensome complexity, emphasize primary care reimbursement, and regulate drug pricing. Moving to a ...

As the health care industry continues to evolve, disputes are becoming increasingly complex, from reimbursement matters and provider contracts to False Claims Act issues. In this episode of the JAMS ...

During October's Open Enrollment for medical benefits, staff and faculty can enroll in reimbursement accounts that offer tax savings on eligible health and dependent care expenses. Caitlin Smalley, a ...

There’s a growing need for mental health treatment programs in Minnesota, but patient advocates and providers are warning that care will become even harder to find after lawmakers cut portions of a ...