A Miami physician assistant was sentenced this week to 15 years in prison for his role in a $200 million Medicare fraud case, even though his attorney argued he was not a central figure in the scheme.
A federal jury in Texas convicted the former head of Houston's Riverside General Hospital, along with several others Monday, of attempting to defraud Medicare of $158 million for mental health services that were medically unnecessary or never actually provided.
Connecture, a technology company that powers and designs Web-based health insurance marketplaces, plans to go public. The Brookfield, Wis.-based company on Monday filed with the Securities and Exchange Commission for a proposed initial public offering of stock.
Medicare will begin initial coverage for a genetic prostate cancer test and will consider national coverage. A Medicare administrative contractor, Palmetto GBA, said it will pay for a diagnostic test that evaluates prostate cancer risk in men, and the nation's largest payer will reach out to...
The Obama administration plans to offer infrastructure loans to small and rural healthcare providers to participate in Medicare's program for accountable care organizations.
Baylor University Medical Center in Dallas has until the end of October to demonstrate to the CMS that it has addressed lapses that have allowed significant numbers of untreated psychiatric patients to walk out of its emergency department without staff realizing they had left.
HCA Holdings, the largest for-profit hospital chain in the U.S., forecast that revenue increased to $9.2 billion for the third quarter from $8.5 billion in the same quarter in 2013.
The Obama administration plans to offer upfront cash to help small and rural healthcare providers build the infrastructure they need to succeed in Medicare's program for accountable care organizations.
When UnitedHealth Group kicks off the third-quarter earnings season for insurers Thursday, reform watchers will be eager to hear more from its executives about their intentions for the 2015 Obamacare open enrollment.
The $25 billion dialysis industry faces transformation as it moves from offering a profitable niche service to what insurers see as a cost center under the population health-management approach.
Demand for kidney dialysis is expected to increase in the U.S. as the elderly population grows and the prevalence of chronic conditions such as diabetes, hypertension and heart disease rises. The U.S. has a higher rate of dialysis utilization than all other advanced countries except Japan, and the...
Medicare's first and most sophisticated accountable care organizations scored highly with patients for easy access to care and clear communication with doctors. The ACOs' success at preventing potentially avoidable hospital stays was decidedly more mixed, as was quality performance in areas such as...