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They want higher staffing levels, better pay and retention efforts and a stronger voice in patient care delivery, organizers say.

Consumer advocates and an activist insurance commissioner in California are renewing a push for premium review authority, while the state exchange is moving ahead with its own version of active purchasing.

ManorCare pressured skilled nursing facility administrators and rehabilitation therapists to meet unrealistic financial goals that resulted in medically unreasonable and unnecessary services to Medicare and Tricare patients, the U.S. Department of Justice said.

The problem is that sometimes Medicare pays for care outside the hospice benefit that it already paid hospice to cover.

On average, specialists earned $284,000 a year while primary care physicians earned about $195,000, according to the survey, which polled 19,500 physicians across 25 specialties.

For Humana, the national insurer with the most Medicare Advantage members, retail health clinics are out of the integration strategy, but home care is very much in.

Tax deals and donations were not enough to keep the facility open.

Illinois' largest health insurer is building out its accountable care network, even as some of the health system partners are consolidating.

Texas health system offering patients more choice and nurturing its own health plan, even while collaborating with major insurers.

Obama administration tells state leaders that failing to expand Medicaid could jeopardize special funding to pay hospitals and doctors for treating the poor.