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Tight expense management helps boost surplus at Sutter

By Beth Kutscher  |  December 20, 2014

Sutter Health, a 24-hospital system based in Sacramento, Calif., has continued to improve its operating performance through the first nine months of the year, cutting expenses to overcome flat revenue growth.

Coverage expansion, low cost growth, continued reform battles highlight 2014

By Harris Meyer  |  December 20, 2014

Healthcare providers and insurers were busy implementing healthcare reform in 2014, millions of uninsured Americans gained coverage, and healthcare spending growth remained modest even as partisan warfare over the Patient Protection and Affordable Care Act continued in full force.

Court tosses AHA's suit over delayed RAC appeals

By Adam Rubenfire  |  December 20, 2014

A U.S. District Court judge last week dismissed a lawsuit by hospitals seeking to compel HHS to meet statutory timelines for processing appeals to recovery audits.

Supreme Court decision could mean $65 billion in lost insurance subsidies

By Paul Demko  |  December 18, 2014

Florida residents would lose $12.3 billion in financial assistance in 2016 if the U.S. Supreme Court strikes down insurance subsidies for states that haven't established their own exchanges, according to an analysis done by Democratic staffers on the House Energy and Commerce Committee.

Two will plead guilty to Rite Aid surplus resale scheme

By Lisa Schencker  |  December 18, 2014

A former vice president of Rite Aid Corp. and his business associate have signed tentative agreements saying they'll plead guilty to allegations they duped the company out of $14.6 million by profiting from deceptive sales of its surplus inventory.

Home care under feds' fraud microscope

By Lisa Schencker  |  December 13, 2014

Facing an epidemic of Medicare fraud in the home-care industry, the federal government is putting a hold on approving new home-care providers in some areas of the country, capping certain types of payments, and using more sophisticated data analyses to uncover foul play.

CHI weathers plummeting operations, DOJ settlement in Q1

By Lisa Schencker and Melanie Evans  |  December 12, 2014

Catholic Health Initiatives lost more on its operations in the quarter that ended Sept. 30 than it did in the entire previous year, according to the system's just-released financial statements.

Antitrust suit accuses Sovaldi maker Gilead of price-gouging

By Lisa Schencker  |  December 10, 2014

Gilead Sciences' eye-popping $1,000-a-pill cost for its hepatitis C drug Sovaldi is illegal price-gouging with the potential to bankrupt parts of the healthcare industry, according to a lawsuit filed in federal court Tuesday.

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