Compliance

A majority of hospitals in California and other states that in CMS' Hospital Readmissions Reduction Program will be penalized in fiscal year 2016 for having too many patients return within one month of discharge, Modern Healthcare reports.

Anthem has pumped up its 2015 forecast again after earnings jumped more than 17 percent in its most recent quarter, helped by a surge in government money.

Fed up with the insurance industry, Democrats used the health care overhaul to create nonprofit co-ops that would compete with the corporations.

Hoping to avoid another political uproar over the Affordable Care Act, the Obama administration is trying to persuade states to cut back big rate increases requested by many health insurance companies for 2016.

New projections by federal government actuaries suggest that the nation’s five-year run of tiny increases in health care spending is coming to an end.

There's one especially eye-catching number in a new report by Medicare actuaries about U.S. healthcare spending: 12.6%.

Deals among the nation’s largest health insurers in recent weeks have been almost head-spinning. But whatever the details, if the combinations are finalized, the result will be an industry dominated by three colossal insurers.

Two-thirds of Californians who were uninsured before the Affordable Care Act went into effect now have health coverage, according to a study released Thursday.

The leaders of the top five health insurers periodically get together to discuss policy issues, Aetna Inc. Chief Executive Mark T. Bertolini told investors in a private meeting earlier this month. The group had a nickname, he joked: the G5.

When 2018 rolls around, who will be responsible for paying any “Cadillac” excise tax duties - the insurance carrier? Third-party administrator? The employer?