As more insurers shift to narrow provider networks to keep premiums down, hospitals increasingly find themselves caught in the middle as patients, insurers and physicians fight over who should pick up bills for services that patients unknowingly receive from out-of-network doctors.
The whistle-blower whose case led to a whopping $320 million settlement between the government and SCAN Health Plan in 2012 is not entitled to any of that cash, a federal judge has ruled. Some say the decision could lead to fewer whistle-blowers bringing cases against Medicare Advantage plans.
A list of the 20 largest biotechnology companies ranked by 12-month revenue as of June 30, 2015. Source: BioPharm Insight. Published Aug. 31, 2015, p. 35.
Trinity Health, one of the nation's largest health systems, closed on a deal to sell a Michigan hospital to Prime Healthcare Services under a strategy to shed struggling hospitals.
Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.
The U.S. Justice Department told a federal judge that Louisiana Gov. Bobby Jindal's decision to oust Planned Parenthood from the state's Medicaid program appears to violate federal law by denying Medicaid patients the right to choose their healthcare providers.
The Cleveland Clinic once again delivered a strong financial performance in the second quarter as it continued to reap the benefits from cost-cutting initiatives while also seeing higher volume.
In its second acquisition in just under a week, Dublin-based medical devicemaker Medtronic announced Monday evening that it had acquired Medina Medical, a device company focused on aneurysm treatment.
The Veterans Affairs Department is conducting fewer reviews of medical errors, even though the number of such problems has increased, according to a report by the GAO. The VA said it is aware of the decrease in reviews, but has not studied why it has happened.
Health insurer Anthem has named Brian Griffin, former president of Anthem's New York health plan, as the president of Anthem's overall commercial and specialty business. He starts Tuesday.