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Should False Claims Act go easier on providers?

By Lisa Schencker  |  April 30, 2016

A hearing held last week by a House judiciary subcommittee pitted a hospital CEO against an attorney on whether healthcare providers should be given greater protections against frivolous fraud lawsuits.

Editorial: Medicaid reforms helping to drive value-based payment

Editorial: Medicaid reforms helping to drive value-based payment

By Merrill Goozner  |  April 09, 2016

State Medicaid agencies have launched a wide array of payment and care-delivery reforms, some of which go further than the federal government's efforts. While they offer the promise of delivering higher-quality care, it's unreasonable to expect them to deliver lower costs, at least in the short run.

What California providers will do when asked to help patients die

What California providers will do when asked to help patients die

By Harris Meyer  |  March 11, 2016

California patients who want to take advantage of the state's new aid-in-dying law are likely to face challenges in finding cooperative providers, at least initially. But two major systems say they'll support physicians who participate.

Oregon co-op files risk corridor payment class-action suit

Oregon co-op files risk corridor payment class-action suit

By Lisa Schencker  |  February 27, 2016

A shuttered Oregon co-op health plan filed a class-action lawsuit against the federal government last week, saying that it and other insurers are owed as much as $5 billion in risk corridor payments.

ACA offers a lower-cost option. Why are only two states using it?

ACA offers a lower-cost option. Why are only two states using it?

By Harris Meyer  |  February 06, 2016

Here's what Manhattan freelance writer Marcella Durand feared when she went to an Affordable Care Act enrollment counselor for 2016 health insurance: a “terrible premium with a terrible deductible for a plan that covered nothing.” But she was "absolutely surprised" by a low-cost option.

ACA  enrollment pleases HHS, but insurers have some complaints

ACA enrollment pleases HHS, but insurers have some complaints

By Bob Herman  |  February 06, 2016

HHS says that 12.7 million people signed up for 2016 coverage through the insurance exchanges, well within previously stated expectations. Now the Obama administration must ensure that the risk pool evens out so that premiums will stabilize and insurers will remain interested in selling the plans.

CareOregon CEO Patrick Curran steps down

CareOregon CEO Patrick Curran steps down

By Steven Ross Johnson  |  November 19, 2015

CareOregon CEO Patrick Curran announced Thursday that he has stepped down as the head of the not-for-profit health plan. Chief Network Officer Scott Clement will act as interim CEO.

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