Mary Mosquera

Because models for accountable care organizations are so new, it's difficult to predict if they will develop along the lines evident today, or morph into something else.

Cancer care delivery is a system in crisis, with escalating costs, an increasingly aging population and complex treatments for a difficult disease stretching healthcare resources, according to a new Institute of Medicine report.

States should adopt the Medicare competitive bidding payment amounts to purchase medical equipment instead of the higher Medicaid fee schedule amounts, according to a report from the HHS Office of Inspector General.

Hospitals with a grip on market power in a region can charge prices that are as much as 60 percent higher than the area's lowest-priced hospital for inpatient services.

Two new provider alliances demonstrate how Central Florida health systems are reducing costs and deepening care coordination by extending their capabilities.

Federal agents seized up to $2.6 million in fraud proceeds from various bank accounts held by the Chicago-based firm, which specializes in physician house calls across six states. The company is accused of upcoding Medicare bills for in-home patient visits.

A Michigan pilot to bring primary care to the home for patients living with advanced chronic illness will now spread across the state. Priority Health, a Michigan-based nonprofit health plan, tested the concept last year with Spectrum Health Medical Group for 90 of its patients.

As healthcare costs for employers continue to rise, they are taking steps to control costs and manage risks.

As more providers and payers start on the ACO journey, they can look to early adopters for guidance.

Florida's Shands Healthcare has agreed to pay $26 million to settle overbilling allegations.