News
The settlement is one of the largest in the history of healthcare fraud in the U.S., including criminal fines and forfeiture totaling $485 million and civil settlements with the federal government and 45 states totaling $1.72 billion.
One of California's largest health systems, Sutter Health, is paying $46 million to settle allegations of overcharging payers with obscured anesthesia billing practices.
The federal agency that projects the nation's healthcare workforce needs has lagged in publishing updated estimates, leaving the government and industry to base their policies and investments on old data.
A New York state hospital association has put out a report card grading the quality of hospital graders. Five of the 10 report cards that were evaluated were given low marks.
More Medicare Advantage plans have earned four stars or higher in the CMS Star Ratings program for 2014, increasing to 43 percent from 27 percent of plans in 2013, an Avalere analysis has found.
Medicare has paid millions in claims for deceased beneficiaries and undocumented immigrants, a government investigation has found.
When President Obama addressed massive problems with the federal health-insurance exchange website last week, he couldn't cite any actual enrollments in health plans offered through the site.
The board of WellCare Health Plans is looking for a new CEO, and is hoping to find someone to expand Medicaid and Medicare managed care.
A larger number of hospitals are showing improvements in their quality of care said the Joint Commission in its annual report on quality and safety of hospitals.
Covered California, the state's public health insurance exchange, has removed one of its 12 health plans from the site, effectively barring consumers from selecting the insurer until further notice.