Dignity seeking license to take full risk for care

By Modern Healthcare  |  February 28, 2015

Dignity Health is preparing to apply for a California health insurance license that will allow the San Francisco-based health system to accept full financial risk for patients' medical care.

Enrollment tops HHS goal as consumers face tax penalties

Enrollment tops HHS goal as consumers face tax penalties

By Paul Demko and Virgil Dickson  |  February 14, 2015

The second open-enrollment period under the Affordable Care Act closed Sunday with more than 10 million enrollments. Reform supporters cheered the gains but cautioned that hurdles remain, most notably a U.S. Supreme Court case that could strike down premium subsidies in up to 37 states.

Data security needs more than encryption

Data security needs more than encryption

By Joseph Conn  |  February 14, 2015

The massive hacks at Anthem and Community Health Systems should boost the use of data-encryption technology, but the high-tech tool may not keep sensitive information from the clutches of sophisticated hackers, experts say.

Co-op insurance plan finances should be watched closely

By Bob Herman  |  February 14, 2015

Many of the new consumer-governed, not-for-profit health plans launched thanks to the ACA were in shaky financial shape in their first nine months of operation and will need to be closely monitored, raising questions about the law's method of boosting insurance competition.

Few states move to establish exchanges despite subsidies' legal peril

By Paul Demko  |  December 02, 2014

The Democratic-controlled Illinois Legislature appears poised to approve legislation this week establishing a state-based insurance exchange. But the Land of Lincoln is the exception when it comes to states without their own exchanges.

The man behind the nation's fastest-growing hospital chain

The man behind the nation's fastest-growing hospital chain

By Beth Kutscher  |  November 29, 2014

Prem Reddy of Prime Healthcare Services draws fire for wrangling with insurers, shucking unprofitable service lines, using aggressive coding, slashing overhead and fighting unions. Yet his bids for failing systems keep on winning.

Lawsuit alleges illegal billing at Las Vegas hospice

By Lisa Schencker  |  November 26, 2014

A Las Vegas hospice illegally billed Medicare and Medicaid for patients who were not terminally ill, the U.S. Justice Department and the state of Nevada allege in a lawsuit filed Tuesday.

Exchange improvements raise hopes for open enrollment

Exchange improvements raise hopes for open enrollment

By Darius Tahir  |  November 15, 2014

After struggling with balky information technology in the first year of open enrollment, the federal and state insurance exchanges have implemented a number of changes to make it easier for consumers to shop for plans and sign up this time.

Dignity Health pays $37 million in false-claims action

By Lisa Schencker  |  October 30, 2014

Dignity Health has agreed to pay the government $37 million to settle allegations that more than a dozen of its hospitals knowingly submitted false claims to Medicare and TRICARE, the U.S. Department of Justice announced Thursday.

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