Susan Morse

The Fraud Prevention System uses predictive analytics to identify questionable billing patterns in real time.

Medicare cost differences ranged from $13,806 to $20,809 over an episode of care among patients with multiple organ failure, those treated for circulatory, digestive and musculoskeletal and connective tissue conditions at a long-term care hospital.

While larger systems have more resources to make the change, the smaller provider or physician practice may still have work to do.

Though many hospitals are trying their best to become more transparent, one in five hospitals will not commit to a policy to combat events that should never happen in a hospital, group says.

Once bitter rivals, healthcare providers in same markets are finding it's better to keep their enemies close, sharing services, health plans and purchasing power among them.

$12 million healthcare fraud case in Houston

In the first year, there is a zero percent discount; the second year, a one percent price cut; and in the third, fourth and fifth years, the two percent price cut goes into effect.

Slavitt to receive 'thorough consideration' Senate Marjority leader states.

The five-year mandatory model would give healthcare providers a standard set of quality measures, including measures for complications and readmissions.

As more healthcare companies see their staffs unionize, and new laws make it easier to do so, many healthcare providers say the growth of organized labor is having a bad effect on their business.