The CMS has proposed increasing health insurers' Medicare Advantage payment rates by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented.
Entrepreneurship can be defined as the pursuit of opportunity with scarce resources. Biomedical and health entrepreneurs do the same thing with the goal of creating value by deploying innovation.
Prime Healthcare Services and Kaiser Foundation Health Plan have taken a step back from their ongoing legal feuds and agreed to dismiss lawsuits against each other and go to binding arbitration.
Pack-a-day smokers in the federal health program now have access to low-dose CT scans for the early detection of lung cancer even as experts continue to debate whether the benefits are worth the cost and risk of false positives.
Sutter Health, a California not-for-profit 24-hospital system, and insurer Blue Shield of California have come to an agreement after a monthlong feud over price increases and new contract terms.
Data Points for the week of Feb. 2, 2015, covered the following topics: medical costs for chronic conditions, cervical cancer, Medicaid, coordinated care
The Obama administration wants 30% of payments for traditional Medicare benefits to be tied to alternative payment models such as accountable care organizations by the end of 2016. The administration also has set a goal of hitting 50% by the end of 2018.
New Hampshire nursing homes could lose $7 million in expected Medicaid reimbursements as part of a plan to close a $58 million budget hole in the state's Department of Health and Human Services.
The CMS will continue ordering some drug and device manufacturers to collect evidence on how well their technologies work before giving its final approval on reimbursement.
Increasing Medicaid reimbursement for primary-care services to match Medicare rates led to increases in appointments for Medicaid patients, a new study finds.
Some U.S. Supreme Court justices are skeptical, based on questions they posed Tuesday, that healthcare providers should be allowed to sue state Medicaid agencies over low reimbursement rates. Other justices, though, asked where providers can challenge rates if not in court.
The U.S. Supreme Court will hear a case Tuesday centering on the question of whether private healthcare providers may sue state Medicaid agencies over low reimbursement rates.