Medicare & Medicaid

According to the U.S. Department of Justice, DaVita devised a scheme to maximize the amount of drugs it waste, billing Medicare for the price of the dose and the waste.

All 17 participating practices improved quality in at least three of the six quality measures for the demonstration in the first performance year, and four met all six quality measures.

Conspiracy to commit health care fraud, violations of the anti-kickback statutes, money laundering and aggravated identity theft among charges that resulted in several healthcare providers being suspended.

As the 50th anniversary of Medicaid approaches, a new report claims there is much work to do on the state-federal program, from finding sustainable hospital payment reforms to tackling the problem of poor oral health.

The fight over expanding Medicaid in Florida and Texas could have a major effect on some of the country's biggest for-profit healthcare providers.

Evidence showed patients were placed in front of a television to watch movies instead receiving the intensive outpatient treatment for severe mental illness for which Medicare was billed.

Medicare drug plans are cutting back on coverage for a specially designated type of painkiller that deters abuse in favor of cheaper generics that don't have the same deterrent qualities, a new study found.

These hospitals charge the uninsured and certain other payers more than 10 times the amount they charge Medicare, but critics say there's a big difference between what hospitals charge and what they are paid.

New rules released Thursday include a third track for providers to take on higher risk and to share in increased savings.

Ankur Roy designed scheme to pay off debt and student loans.