Medicare & Medicaid

Critical access hospitals and acute care hospitals will receive all-payer global budgets for a fixed amount of money that is set in advance and funded by all participating insurers.

Innate Immunotherapeutics sold nearly $1 million in discounted shares to the potential U.S. Department of Health and Human Services chief.

Aria Sabit lied about procedures performed, fraudulently billed government programs, performed unnecessary surgeries and implants, authorities say.

CMS says it wants the model to be a pathway for ACOs to enter two-sided risk and then move on to higher risk in a Track 2 or 3 model.

Leaders share what is still needed to provide the best care while safeguarding the health of the sector.

Elements of the law remain widely popular, including coverage for pre-existing conditions, benefits caps, young adults on parents' plan until age 26.

Disbelief and anxiety over the estate recovery program are widely shared among Medi-Cal enrollees and their families.

Protestors gathered in Portland, Maine and descended on Maine Senator Susan Collins' office, filling her hallway to speak out against the proposed plans from the incoming Trump administration to repeal and replace the Affordable Care Act.

Snowball effect would mean a cumulative $1.5 trillion loss in gross state products, $2.6 million reduction in business output from 2019 to 2023.

Under pressure from health insurance industry, CMS quietly backed off repayment demands, settled the audits in 2012 for just under $3.4 million.