Susan Morse
Saint Peter's sued Horizon over what it said was its wrongful exclusion.
Close to 6 million people selected plans through Healthcare.gov, a marked increase over last year when an estimated 3.4 million signed up, according to the Centers for Medicare and Medicaid Services. That includes a notable uptick in enrollment for those under 35.
Hospital giant HCA will pay $2 million to settle a whistleblower lawsuit alleging that medically unnecessary and substandard heart surgeries were being performed at Fairview Park Hospital in Dublin, Georgia, the U.S Department of Justice said Tuesday.
UnitedHealth Group subsidiary Optum will buy the administrative support services for ProHealth Physicians, one of Connecticut's largest independent physician groups.
As prescription drug prices continue to drive up healthcare spending, the Centers for Medicare and Medicaid Services is creating a new online dashboard to increase transparency and address affordability. Read the story for the full price breakdown.
The Federal Trade Commission has moved to block a proposed merger of Advocate Health Care Network and NorthShore University HealthSystem, a decision the Chicago providers said they would fight.
CMS said 540 drugs had a 25-percent increase for $13.7 billion, or 11 percent of program costs.
Former Turing Pharmaceutical CEO Martin Shkreli, who was arrested last week on charges of securities fraud and who has been reviled for hiking the price of a life-saving drug by 5,000 percent, has been terminated as CEO of KaloBios, the company announced Monday.
Thirty-two hospitals in 15 states, including the Cleveland Clinic and hospitals associated with the Community Health Systems, Tenet and Banner Health, are on the hook for $28 million to settle allegations they submitted false claims for inpatient care to perform minimally-invasive spinal surgery that could have been done in a less expensive outpatient setting, according to the U.S. Justice Department.
Don Goldmann, chief medical and scientific officer for Institute of Healthcare Improvement, thinks the Centers for Medicare and Medicaid Services needs to change its methodology for ranking providers by their number of hospital-acquired infections as many respected hospitals are seeing payment reductions in the program.