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Reimbursement

By Susan Morse | 11:56 am | April 19, 2016
UnitedHealth Group is exiting the Affordable Care Act markets in Michigan, Oklahoma and other areas citing a lack of profitability.
By Susan Morse | 09:45 am | April 19, 2016
A single, coordinated approach to performance reporting is needed to make promised Medicare payment reforms work, the American Medical Association and other physician groups are expected to tell lawmakers Tuesday morning during a Subcommittee on Health hearing on Capitol Hill.
By Kaiser Health News | 09:02 am | April 19, 2016
If UnitedHealthcare follows through on its threat to quit the health insurance marketplaces in 2017, more than 1 million consumers would be left with a single health plan option, an analysis released Monday forecasted.
By Susan Morse | 06:43 pm | April 18, 2016
Rule affects 3,330 acute care hospitals, 430 long-term care hospitals.
By Beth Jones Sanborn | 04:10 pm | April 18, 2016
The Supreme Court will hear oral arguments Tuesday in what could be a precedent-setting case stemming from the death of a Massachusetts teen after treatment at a Universal Health Services-owned facility. The case, referred to as Universal Health Services v United States ex rel. Escobar, was brought by the teen's parents against Universal Health Services, the largest owner of psychiatric hospitals and clinics in the United States.
By Susan Morse | 01:18 pm | April 18, 2016
The more than 1,500 healthcare providers taking part in the Bundled Payments for Care Improvement initiative may extend their participation in Models 2, 3 and 4 through September 30, 2018, according to the Centers for Medicare and Medicaid Services.
By Jeff Lagasse | 12:50 pm | April 18, 2016
Third-party nonprofits promising scientific and transparent drug value assessments are gaining ground in healthcare, even as many drug manufacturers are challenging their methodologies, according to new research by the Health Research Institute.
By Beth Jones Sanborn | 11:12 am | April 18, 2016
Pharmaceutical company Warner Chilcott was sentenced Friday in U.S. District Court in Boston to pay $125 million to resolve criminal and civil liability stemming from the illegal promotion of various drugs including Actonel, Asacol, Atelvia, Doryx, Enablex, Estrace, Loestrin and various formulations of these drugs, the U.S. Attorney's Office announced Friday.
By Susan Morse | 08:59 am | April 15, 2016
Accountable care organizations that participated in the first full year of Medicare Shared Savings saw early reductions in spending that eroded a year later, according to a new study published in the New England Journal of Medicine.
By Susan Morse | 01:14 pm | April 14, 2016
While support for the provisions of the ACA are on the rise, along with a willingness to let the law work instead of repealing it, individual opinions are more strongly influenced by party identification and their trust in government.