Susan Morse
One out of every six patients over the past two years received care in a hospital rated low for performance, or one-star, according to a new Healthgrades report that shows hospital quality varying across the country, regionally and within local markets.
Medicare Payment Advisory Commission says other types of financial support could include fixed grants to pay for standby capacity costs and uncompensated care; and targeted special payments with a focus on low-volume isolated providers.
The medication therapy management model is being tested in five regions as an incentive to boost adherence for stand-alone Part D plans not connected with Medicare Advantage.
America's Health Insurance Plans on Wednesday called former Secretary of State Hillary Clinton's stance against major insurance company consolidation misguided, and suggested that the presidential candidate focus on other issues plaguing healthcare instead.
A new study in the Journal of the American Medical Association has found higher healthcare prices for outpatient care linked to the financial integration between physicians and hospitals.
Nearly every C-suite respondent to Premier's 2015 Economic Outlook said pharmaceutical price increases are their top area of concern.
Dartmouth-Hitchcock Medical Center will abandon the Pioneer Accountable Care Organization program, the system confirmed Tuesday, after losing more than $3 million over the past two years in the Centers for Medicare and Medicaid model.
Millennium Health of San Diego has agreed to pay $256 million to the federal government to resolve claims that it billed Medicare, Medicaid and other federal healthcare programs for medically unnecessary urine drug and genetic testing, according to the U.S. Department of Justice.
Aetna said it expects the transaction will be completed in the second half of 2016 pending conditions, federal review and regulatory approval.
Tuomey Healthcare System in South Carolina will pay the federal government $72.4 million and will affiliate with Palmetto Health to resolve claims it billed Medicare for services referred by physicians it illegally paid, according to the U.S. Department of Justice.