Susan Morse
A recent American Journal of Managed Care study has confirmed prices for care in a hospital outpatient department tend to be higher than those for the same service performed in a physician's office.
In 2016, health insurance co-ops have gained needed enrollment but half of those set up under the Affordable Care Act three years ago have failed, costing taxpayers over $1 billion, according to a Senate subcommittee which has investigated what went wrong.
While accountable care organizations piloted by the Centers for Medicare and Medicaid services are expanding due to the government's focus on alternative payment models, ACOs run by private insurers are growing as health systems weigh the benefits of joining.
Former GOP presidential candidate Ben Carson endorsed Donald Trump on social media and during a press conference dominated by the front-runner on Friday morning in Florida.
Isaac Kojo Anakwah Thompson, a Florida doctor who falsely diagnosed hundreds of patients as having a rare spine condition, has pleaded guilty to healthcare fraud and faces spending a decade in prison.
The Centers for Medicare and Medicaid Services is scrapping its policy of automatically reducing the star ratings for contracts under sanction, a decision that affects the bonus payments and rebates for plans in a state of penalty.
The Centers for Medicare and Medicaid Services on Wednesday released data on 15,055 skilled nursing facilities, over 2.5 million stays, and almost $27 billion in Medicare payments for 2013.
Physician and pharmaceutical groups have come out swinging against the Centers for Medicare and Medicaid Services' proposal to reduce the reimbursement price for Medicare Part B prescription drugs.
The current Medicare Part B drug payment methodology can penalize doctors for selecting lower-cost drugs.
The Centers for Medicare and Medicaid Services has levied a $3.1 million penalty against Humana, the single largest imposed against 129 organizations found in violation of Medicare Advantage and prescription drug plans in a 2015 audit.