Compliance & Legal

In 40-plus page decision, federal court says lower court erred in ruling, merger would hurt market competition.

But the challenge isn't easy for accountable care organization practices that lack IT support, Farzad Mostashari says.

The first drug to treat Duchenne muscular dystrophy could sell for $350,000 a year.

Policymakers could create a single, independent organization to develop standards for healthcare performance measures and the data used to populate those measures, the authors said.

Settlement agreement includes another $19.6 million in restitution to customers, interest for late reimbursements to providers.

While the plan is heralded by many as the flexibility providers and advocates have been pleading for, a lot still remains unknown.

With the reporting and tech burdens high even by large provider standards, solo and small group practices are preparing for a rough entry.

Consumers Union wants to know why the cost projections submitted by Anthem and Blue Shield are so much higher than some of their competitors and other industry-wide figures.

The bill would require insurers to reimburse out-of-network doctors and health providers at the same rate as what they pay in-network providers.

The owner and manager of three former Miami-area home health agencies will spend 20 years in prison after being convicted of conspiring to commit health care, wire fraud, paying illegal kickbacks as part of a $57 million fraud scheme, the Department of Justice announced.