The Justice Department has joined a whistle-blower's lawsuit against Prime Healthcare alleging the hospital chain fraudulently billed Medicare for beneficiaries admitted as inpatients when they should have been treated as outpatients.
The nation's top healthcare leaders overwhelmingly back the Affordable Care Act and support its goal of pushing providers away from fee-for-service medicine and toward delivering value-based care, according to Modern Healthcare's second-quarter CEO Power Panel poll.
Payments to Medicare Part B supplier organizations such as labs and ambulance services, ranked by total Medicare payment amounts in 2014. Source: Aggregated CMS Physician and Other Supplier Utilization and Payment Data for 2014. Published May 23, 2016, p. 34.
Another hospital has agreed to settle for $107 million in what's become a growing list of cases over whether faith-based health systems have to follow federal rules meant to protect employee pensions.
A new bill making the rounds on Capitol Hill has a hospital-centric theme. But private Medicare Advantage insurers with bad quality ratings would also benefit from one surreptitious provision.
Lawmakers grilled a CMS administrator Tuesday as government watchdog groups released more damning reports on the federal agency's efforts at eliminating waste, fraud and abuse in Medicare and Medicaid.
CEO Milton Johnson told investors Tuesday that HCA would continue to focus on facility expansion and smaller, complementary acquisitions rather than “needle-moving” hospital deals.
In a far-ranging conversation with Modern Healthcare reporter Joseph Conn, A. Neil Pappalardo discusses his Sicilian family influences and early education in upstate New York, his technical training at MIT, his passion for invention, and his goal of conveying ownership of Meditech to its employees.
Experts are still studying the issue, but hospitals say Medicare must tweak how excess readmissions are measured to make sure penalties reflect quality, not demographics.
Dr. Patrick Soon-Shiong's investment firm Nant Capital is committing $70.5 million to become the second-largest shareholder in Tribune Publishing Co., parent company of the Los Angeles Times, Baltimore Sun and Chicago Tribune, among other titles.
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