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In the new world of healthcare -- one that is focused on collaboration, accountability, providing better care and cutting costs -- Aetna executives view the insurer's newly minted Healthagen division, unveiled last month at HIMSS13, as an indispensible piece of getting things right.
A federal appeals court in Boston has upheld a lower court ruling requiring Pfizer to pay Kaiser Foundation Health Plan $142 million for alleged fraudulent marketing of the epilepsy drug Neurontin, and also let related lawsuits filed by Aetna and a self-funded employer go forward.
Intermountain Health Care, Utah's largest healthcare system, has agreed to pay $25.5 million to settle claims that it violated the federal Stark law and False Claims Act by engaging in improper financial relationships with referring physicians, the Justice Department said Wednesday.
The Department of Health and Human Services has proposed conflict of interest and certification rules for navigators and other consumer assisters in federal and state partnership insurance exchanges -- and also proposed a rule that would likely prohibit state attempts to restrict navigators to only licensed brokers and agents.
A Maine-based initiative of a national campaign to rein in unnecessary care began to take shape Wednesday at a daylong conference focused on making the state the first in the nation to achieve the Triple Aim.
Providers looking to get the most out of their data analytics to improve patient care need to consider five key points to unlock the power of their data.
North Carolina Republican Gov. Pat McCrory unveiled what he called a "comprehensive framework for reform" for Medicaid that would offer recipients integrated physical and behavioral healthcare while simplifying billing and administration for providers.
At a meeting of the Health IT Policy Committee on April 3, National Coordinator for Health Information Technology Farzad Mostashari, MD, and other committee members took a hard look at the CommonWell Health Alliance, a new vendor-led coalition to promote interoperability.
After declining to expand Medicaid earlier this year, North Carolina Republican Governor Pat McCrory unveiled what he called a "comprehensive framework for reform" that would offer recipients integrated physical and behavioral healthcare while simplifying billing and administration for providers.