Susan Morse

The Centers for Medicare and Medicaid Services and the State of Rhode Island are contracting with a Medicare-Medicaid plan to provide integrated benefits to approximately 30,000 eligible enrollees.

Accredited hospitals that offer advanced services, are major teaching institutions and have better performance and outcome measures are penalized more frequently than other providers for hospital-acquired conditions, according to a new study in the Journal of the American Medical Association that claims to have exposed a major flaw with program.

People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte.

Financial pressures are causing a growing number of U.S. doctors to leave private practice for hospital employment, according to a new report by Accenture.

From 2010 to 2013, Paula Kluding concealed the true medical condition of Prairie View Hospice's patients in order to "pass" a Medicare audit and to fraudulently obtain money from Medicare, according to evidence presented at trial.

Rural healthcare providers on Tuesday told members of the House Ways and Means Health Subcommittee that current Medicare regulations threaten to shut the doors of more rural hospitals across the United States.

Providence Hospitals would keep its name and continue to operate as a Catholic hospital.

Clinical documentation improvement at Henry Ford Health System includes nurses serving as translators between physicians and coders and analytic tools that have added 2 percent to revenue cycle bottom line.

The deal with Capella Healthcare will bring four hospitals located in central Tennessee into Saint Thomas Health.

Sadiq created fake patient files to fool a Medicare auditor by making it appear as if home health services were provided and medically necessary.