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Summit to examine physician concerns about bundled payments

By Virgil Dickson  |  May 23, 2015

Providers and policymakers will explore implementation strategies for bundled-payment models and address physician concerns about the CMS' bundled-payment experiments at the Fifth National Bundled Payment Summit in Washington.

CareFirst data hoarding widened breach's impact

By Adam Rubenfire  |  May 23, 2015

The newly announced cyberattack against CareFirst Blue Cross and Blue Shield and the massive earlier hacks at Premera Blue Cross and Anthem would have had a narrower impact if the health insurers hadn't retained customer data for so long, experts say.

Pat Fry to retire as Sutter CEO

Pat Fry to retire as Sutter CEO

By Modern Healthcare  |  May 23, 2015

Pat Fry, 57, will retire as president and CEO of Sutter Health, Sacramento, Calif., effective Jan. 4.

Blog: Health insurer M&A chatter heats up, but is it overhyped?

By Bob Herman  |  May 22, 2015

The health insurance industry has been abuzz the past few weeks with speculation that a big merger is near. Aetna, Anthem, Cigna Corp. and Humana have all been at its epicenter. But do the rumblings really predict a seismic deal?

Grassley presses CMS on Medicare Advantage fraud

By Lisa Schencker  |  May 21, 2015

Sen. Chuck Grassley (R-Iowa) is pressing the CMS and the U.S. Justice Department to crack down on Medicare Advantage fraud—an issue that's spurring a growing number of lawsuits and could be costing the government billions.

Doc group seeks to sort out complex cancer screening guidelines

By Michael Sandler  |  May 19, 2015

The American College of Physicians is trying to clear up confusion over cancer-screening guidelines that have evolved and gotten complicated in recent years. The organization is emphasizing "high-value screening" for breast, colorectal, cervical, prostate and ovarian cancers.

King ruling won't change road to consumer-based health system

King ruling won't change road to consumer-based health system

By Modern Healthcare  |  May 02, 2015

Bruce Broussard, president and CEO of Louisville, Ky.-based Humana discusses his company's use of mobile health information technology to help providers manage patients' care, the movement toward greater consumer choice in healthcare, and recent CMS payment and policy changes for the Medicare...

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