While value-based payment and delivery innovations by Medicare and commercial insurers have gotten more media attention, some experts say Medicaid has proven more fertile ground for innovation.
The Obama administration says it needs more time to evaluate a large-scale test coordinating benefits and care for low-income and disabled Americans. The 12 participating states appear willing to stick with it, but the two largest expressed significant reservations.
A listing of the nation's 25 largest revenue-cycle management companies, based on responses from Modern Healthcare's 2015 Revenue Cycle Firms Survey. Published Sept. 7, 2015.
The Texas hospital that treated the first person diagnosed in the U.S. with Ebola was not adequately prepared for a patient with the deadly virus and stumbled because of communication failures, an independent review released Friday found.
Supporters hope a new Medicare Advantage experiment offering lower out-of-pocket costs for high-value services and providers will become a template for health plans with sizable cost-sharing, which have become the standard offering from employers and insurers.
Progressive healthcare providers say recent HHS rules banning discrimination against transgender people raise more questions about how to adequately serve that community.
Georgia's Columbus Regional Healthcare System will pay the government up to $35 million to settle lawsuits accusing it of violating a federal law governing physician self-referrals and billing the government for higher levels of services than those actually provided.
On Oct. 1, Medicaid programs in California and three other states will not fully convert from the ICD-9 to the ICD-10 coding system. Instead, they have received CMS approval to convert claims coded in the new ICD-10 system into ICD-9 codes, and use the older system to calculate payments to...
Premier, the Charlotte, N.C.-based group purchasing and performance-improvement company, has launched a nationwide initiative to combat antibiotic-resistant "superbugs." Later this week, the National Quality Forum will consider an antibiotic stewardship measure proposed by the CDC.
The president of New York-Presbyterian Hospital, Dr. Robert Kelly, quietly stepped down Thursday from his post. The $4.6 billion hospital removed Kelly's biography and his name from its website, where it once appeared prominently among the executive leadership team.