Modern Healthcare caught up with America's Health Insurance Plans' next CEO, Matt Eyles, to discuss the trade group's priorities, political moves to expand short-term plans, and the recent wave of proposed megamergers involving insurers.
After the House scuttled a measure to fund CSRs and reinsurance in the omnibus spending bill, the leading GOP negotiators in the Senate revived a fight to get their stabilization bill a vote in the upper chamber.
The CMS updated its star ratings in December with a new formula, but a Modern Healthcare analysis shows specialty hospitals perform much better than major teaching hospitals even though they don't report all the measures.
The CMS has found the University of Maryland Medical Center in violation of the Emergency Medical Treatment and Labor Act for its handling of a mentally ill patient who was found in just a gown and socks outside the medical center's mid-town campus in Baltimore on a freezing night in January.
UnitedHealth and physician staffing firm Envision Healthcare are locked in a dispute over ER payment issues. UnitedHealth recently launched a website about Envision's "outrageous billing practices" in response to Envision's lawsuit against the insurer.
President Donald Trump's likely pick to lead the Centers for Disease Control and Prevention is facing significant criticism because of a 20-year-old controversy over shoddy HIV research.
Aberdeen, Wash.-based Grays Harbor Community Hospital laid off nearly a quarter of its executive leaders following a disappointing 2017 mired by low volumes and continued reimbursement reductions.
The Trusted Exchange Framework Task Force asked the Office of the National Coordinator for Health Information Technology to let the private sector hammer out the details of implementation of its interoperability and data-sharing framework.
HHS Secretary Alex Azar faces a hard slog to make healthcare prices and out-of-pocket costs public, particularly since many providers and drugmakers have resisted even while saying they support the concept.
Psychologist Andrew Morral is a senior behavioral scientist at the RAND Corp. He leads RAND's initiative to understand the effects of U.S. public policies on guns, which are involved in 33,000 deaths—nearly two-thirds of them suicides—and 79,000 injuries each year.
Aetna and Sutter Health have chosen Steve Wigginton, former CEO of Valence Health, as CEO of their joint venture that will soon launch a health plan designed to lower healthcare costs for Northern California self-insured employers and their employees.