Reimbursement

Miami man billed Medicare for home health services and physical therapies that were not medically necessary and bribed patient recruiters in exchange for patient referrals, prescriptions and plans of care.

Workers at Seattle's largest employer signing up in droves for health plans that pair workers with these networks.

After a weekend of Merlot, brie, oysters and chocolate (and maybe more snow), a sampling of the most prolific prose from an annual healthcare tradition: health policy valentines.

Medicare is looking for commercial insurance partners to join a multi-payer, physician-led effort aimed at "transforming" oncology and helping financing become more sustainable.

The predicted demise of health insurance brokers may have been premature. Industry veterans and entrepreneurs are carving out niches and expanding their roles in the new market.

Changes in open enrollments to come and evolving state and federal policies promise new uncertainties for insurers trying to soundly price their plans and retain membership.

In the U.S. there are two million home care workers, who make a world of difference to the elderly or disabled trying to age at home.

There is little disagreement that moving healthcare reimbursement from fee-for-service reimbursement to a model based on quality and outcomes is the right thing to do. This is true for patients, for the industry, and for the economy.

While majority of experts testifying Wednesday said the industry is ready, some worry about its impact on physicians.

Health system says only three of the Office of Inspector General's findings were true errors.