The investigation was groundbreaking in many respects, and providers will likely feel its effects for years to come—in ways that are both potentially positive and negative for the hospital community.
The health insurance mega-mergers proposed nearly a year ago may be entering their final months of regulatory review, and the road ahead could be rough.
The director of the Centers for Disease Control and Prevention is urging Congress to quickly approve funding to fight the Zika virus.
Insurers wonder if CMS' latest effort to drum up interest in the Comprehensive Primary Care Plus Initiative will overcome obstacles to participation in states that have laws prohibiting physician practices from taking on risk-based contracts.
Health insurers that sell plans with mandated benefits under the Affordable Care Act cannot require people to wait a certain amount of time before they can use those benefits, the CMS reiterated this week in a memo.
The CMS threatened Monday to cut off Medicare and Medicaid funding to an Indian Health Service hospital in Rapid City—the third South Dakota hospital serving Native Americans that's been found to have serious deficiencies in recent months.
The nation's top healthcare leaders overwhelmingly back the Affordable Care Act and support its goal of pushing providers away from fee-for-service medicine and toward delivering value-based care, according to Modern Healthcare's second-quarter CEO Power Panel poll.
Experts are still studying the issue, but hospitals say Medicare must tweak how excess readmissions are measured to make sure penalties reflect quality, not demographics.
Six months after Congress voted for site-neutral Medicare payments, lawmakers appear ready to carve out loopholes.
Data Points for the week of May 23, 2016, covered the following topics: Knee and hip replacements and bundled payments for them from Medicare and the number of Americans with knee and hip replacements.
I read with great interest the recent Q&A “We're trying to build the business case for achieving health equity,” (April 25, p. 30), based on an interview with Cara James, Ph.D., director of the CMS' Office of Minority Health.
Alan Miller, chairman and CEO of Universal Health Services, recently spoke with Modern Healthcare senior reporter Harris Meyer about the reasons for the company's improving financial performance at a time when some other for-profit hospital chains are struggling.