A large payer and health system in California are embroiled in a bitter feud over expired contract terms, the type of fight all too common in the fee-for-service world. Value-based pay promises to align providers and payers in the pursuit of efficient care, but they're likely to keep fighting.
I am a strong advocate for providing quality care but am disappointed when my organization does follow-up on current Medicare HCAHPS. Often responses are given by people not involved in the patient's care (the patient or their spokesperson).
Sorting through the shards of Vermont's discarded single-payer health insurance scheme reveals the plan was undone by its generosity toward patients, hospitals and physicians, not its core assumptions.
The Food and Drug Administration on Friday approved Viekira Pak, a combination of pills that becomes the fourth treatment the agency has approved in the past year to treat hepatitis C.
Telehealth startup American Well announced a $80 million funding round Tuesday, capping a big year in funding for telehealth startups.
Actuaries say it's getting increasingly difficult to advise states on sound rates for Medicaid managed-care plans because high-priced specialty drugs like Sovaldi continue to hit the market at a rapid clip.
Now that patients are assuming greater financial responsibility for their healthcare, payers and providers must collaborate to educate patients and reduce barriers to care.
A leading consulting firm is warning medical-device companies that they either embrace the changes taking place in the global healthcare system or they will face sharply declining operating margins in the years ahead.
UnitedHealth Group's profit per share in the third quarter exceeded Wall Street's estimates in large part because of lower-than-expected medical costs, giving hope for other health insurers that healthcare spending is still being held in check.
Premiums and deductibles for Medicare Part B beneficiaries will remain flat for a second straight year, HHS announced Wednesday. In 2015, seniors with incomes below $85,000 will pay a $104.90 monthly premium and face a deductible of $147.
Medicare patients who receive routine outpatient care such as IV bags and heart tests pay considerably more out of their own pockets at critical-access hospitals than at other general acute-care hospitals, according to a report released Wednesday from HHS' Office of the Inspector General. For some...
When Congress passed the Health Insurance Portability and Accountability Act in 1996, it saw “administrative simplification” as a general benefit and specifically called for the adoption of several national numerical identifiers as a way to boost efficiency, reduce waste and control...