Thank you for the April 25 cover story “Breaking the system,” drawing attention to how state budget battles are preventing numerous citizens from accessing services that are integral to their health and well-being. We've noticed the same trend in instances where healthcare overlaps with...
One of the most comprehensive, independent studies of commercial healthcare prices shows that employers and insurers that provide private health coverage pay a lot more for services depending on the state where people live.
The CMS announced three payment rules that propose increased payments to skilled-nursing facilities, inpatient rehabilitation facilities and hospice care, and implemented new quality measures.
The White House’s effort to quantify the nation’s progress on converting to alternative payment models is about to kick off with a gathering of heavy hitters in the healthcare industry.
With less than a year to go in the Obama administration's public-private push for better care management among primary-care providers, the CMS has rolled out a souped-up care-delivery model.
One of the frustrating things about healthcare data is that they live in silos, so the user experience is far from seamless. But that's becoming unacceptable with the growth of high-deductible health plans and the corresponding wave of healthcare consumerism.
Don't expect the market power of price-conscious patients to slow healthcare spending. Patients who sought “shoppable” healthcare—care scheduled in a market with some competition—had out-of-pocket costs that accounted for 7% of all spending for privately insured patients.
McKesson announced Thursday that it had acquired two oncology companies to bolster its specialty health segment. The combined transactions were valued at $1.2 billion, and are expected to close in the first quarter of fiscal 2017, pending customary closing conditions.
Baseline Medicare Advantage payment rates for 2017 will rise by 1.35% on average, an early win for health insurance companies in the final Medicare rate battle of the Obama administration.
Baseline Medicare Advantage payment rates for 2017 will rise by 1.35% on average, an early win for health insurance companies in what is the final Medicare rate battle of the Obama administration.
As the CMS seeks to simplify the application process for exchange plans and Medicaid, payers want to make it harder for individuals to sign up after open enrollment ends. Meanwhile, advocates and providers want to reduce barriers and have the CMS learn more about who is signing up, including their...
More than a dozen major healthcare organizations and associations have jumped into a Supreme Court case over the validity of a legal theory now used to bring many fraud lawsuits against them.