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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.

Two major insurers recognize telemedicine

By Las Vegas Review-Journal  |  October 06, 2014

Nevada's two biggest insurers—Anthem and UnitedHealthcare—have rolled out programs that let consumers visit with a doctor online anytime for routine conditions. The idea? Let patients check in with a doc from home or work to spare the hassle of an in-office visit, and to cut down on...

Nevada hospital runs mobile hospital at Burning Man

Nevada hospital runs mobile hospital at Burning Man

By Modern Healthcare  |  August 23, 2014

When 68,000 or so participants converge on Nevada's Black Rock Desert this week to get the Burning Man fire arts gathering raging, things could get weird. They usually do.

Courts issue conflicting rulings on federal insurance subsidies

Courts issue conflicting rulings on federal insurance subsidies

By Joe Carlson  |  July 22, 2014

The federal courts kicked up new uncertainty for the healthcare reform law with conflicting rulings on whether the U.S. can help consumers buy health plans on federally run exchanges. But HHS may be able to sidestep the controversy.

Reform Update: Xerox bloodied but unbowed, seeks new exchange business

Reform Update: Xerox bloodied but unbowed, seeks new exchange business

By Darius Tahir  |  June 12, 2014

The casual observer might be surprised to learn that Xerox landed a contract to work with Maryland's state exchange and is bidding to help New York with its Medicaid program. After being summarily thrown out of its job working on Nevada's exchange to widespread jeers, one might think Xerox wouldn't...

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