It was as a son, not a healthcare CEO, that I experienced the pain of my mom's “do not resuscitate” order being ignored. Her medical team pushed through the door and subjected her to a full code, against her wishes, the night her heart beat for the last time.
Health plans have complained for years that the CMS doesn't treat them fairly if they enroll large numbers of low-income people with complex medical needs. It looks as if they have been heard and may see the changes they want.
Dr. Michael Cropp, president and CEO of Independent Health, a not-for-profit health insurer based in Buffalo, N.Y., discusses surprise medical bills, how his plan reduced premiums this year and his views of prescription drug prices. He spoke with Modern Healthcare reporter Bob Herman.
California Gov. Jerry Brown's veto last week of a “right-to-try” bill disappointed advocates who want more state laws allowing terminally ill patients access to experimental drugs.
Medicare's investment in accountable care organizations has inspired hospitals and doctors to create their own versions of ACOs with private insurers. But as with Medicare, not all private ACOs are achieving lower costs and higher quality.
On Sept. 1, Karen Ignagni started a new chapter in her career far from Washington, D.C., where she spent two decades as the head of the insurance industry's lobbying group, AHIP. Now she is the caretaker of EmblemHealth, which insures 3.2 million people.
Ready or not, the U.S. healthcare industry is poised to flip the switch from the ICD-9 to the ICD-10 diagnostic and procedural coding system on Oct. 1, significantly changing how billions of dollars in medical claims are calculated and billed every day.
Politicians and healthcare leaders don't agree on much about the root causes and problems with consolidation in the healthcare sector. More congressional hearings are likely to inflame the debate.
The selection of U.S. Supreme Court Chief Justice John Roberts and President Barack Obama for the top two spots in the 14th annual Modern Healthcare 100 Most Influential People in Healthcare reflects the continuing centrality in healthcare of the ACA and the ongoing political battle over its future.
A new rule that will shed light on the rising wealth gap between America's CEOs and average workers could put some healthcare companies with large numbers of low-wage employees in the public's crosshairs.
Former CMS Administrator Marilyn Tavenner has resigned from LifePoint Health's board of directors following her appointment to head the insurance industry's powerful lobbying group.
Marilyn Tavenner, who stepped down as CMS administrator six months ago, will now lead the country's dominant health insurance lobbying group, working on behalf of the companies that are regulated by the CMS and are devoting more of their business to Medicare and Medicaid.