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.
Physicians face tough predicaments in attempting to prescribe highly effective new hepatitis C drugs for their patients while health plans strive to curb the high costs of those medications.
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.
Madeline Bell has been named CEO of Children's Hospital of Philadelphia, effective July 1. She'll succeed Dr. Steven Altschuler, who is retiring after 15 years.
Pat Fry, 57, will retire as president and CEO of Sutter Health, Sacramento, Calif., effective Jan. 4.
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?
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.
Doctors are finding themselves in tense situations as they try to prescribe new hepatitis C drugs to patients eager for a cure while health plans limit coverage to manage the costs of the medications.
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.
WellCare Health Plans continues to feel the financial pain of an 8-year-old criminal fraud case, and it is unlikely the legal costs will abate soon.
Several health insurance carriers in Oregon are proposing large rate increases for 2016 individual plans.
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...