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Some physicians can be in-network when working at one office but not when they are at another. Or they may belong to a medical group that is affiliated with your plan, but they don't participate.

More than half of the hospitals punished this year were also dinged in 2014. The government has used financial carrots and now sticks to improve the quality of care.

Not all income is equal when it comes to figuring out eligibility for federal tax credits that help lower-income consumers pay for their health insurance premiums.

Supporters of Kentucky's insurance exchange have asked the governor-elect to reconsider a pledge he made to shutter it and shift people to the federally run HealthCare.gov.

A growing number of marketplace plans leave consumers responsible for potentially unlimited out-of-network health care bills, despite expectations that there are caps in place.

Updating antiquated diagnosis codes is supposed to make medical billing more accurate, but doctors and insurers say right now it seems like a very expensive headache. Is there a code for that?

Health care practitioners who band together can earn Medicare bonuses by saving money. Most of the groups decline potentially richer deals that include penalties for excessive spending.

Specialized health insurance marketplaces that cater to businesses with fewer than 50 employees haven't gotten much traction. Cheaper alternatives are one reason why.

NPR's Juana Summers speaks with Jon-Paul Dyson with The Strong National Museum of Play about the Video Game Hall of Fame inductees for 2023.

The head of the World Health Organization made a historic announcement today: COVID-19 is no longer a global emergency. NPR unpacks what that means — and what comes next.