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.
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.
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.
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.
Dr. Andrew Warshaw has begun his one-year term as president of the American College of Surgeons, a 79,000-member professional association based in Chicago.
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.
Family physicians will announce a new multiyear messaging campaign this week called “Family Medicine for America's Health.”
Ben Breier is president and chief operating officer of Kindred Healthcare, a post-acute-care provider that reported $4.9 billion in revenue in 2013.
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...
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.
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.
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...