HHS' outlier payment program has been subject to scrutiny after more than 100 hospitals manipulated data to score more reimbursement money for their exceptionally expensive patients.
As policymakers and the drug and device industry look for new ways to bring treatments for life-threatening conditions to the market sooner, providers are concerned that expedited approvals could compromise patient care.
A rule that would set new ceiling prices in the 340B drug discount program has been delayed until mid-2018 while HHS considers alternative regulations.
Cincinnati and South Carolina are the latest to sue drug distributors and manufacturers for allegedly fueling the opioid crisis by filling suspicious drug orders. Companies call the efforts "misguided."
In a 2-1 ruling, a federal appeals court panel ruled that Arkansas can block Medicaid funding to Planned Parenthood, two years after the state ended its contract with the group over videos secretly recorded by an anti-abortion group.
The Crystal Lake, Ill.-based Centegra Health System has filed a lawsuit against Mercy Health System and the Illinois Facilities and Services Review Board, alleging that the agency's approval of a new Mercyhealth "micro-hospital" violates the board's own standards, is out of its jurisdiction and...
California hospitals could claw back hundreds of millions of dollars in Medicaid payments after a federal appeals court ruled HHS didn't have appropriate evidence to approve the state's outpatient care pay cuts.
Despite resistance from some colleagues, Rep. Tom Reed (R-N.Y.) thinks a majority of Republicans in the House could sign onto an Obamacare fix.
The appellate court order allowing state attorneys general to intervene in a lawsuit over the ACA's cost-sharing subsidies means the Trump administration cannot unilaterally stop the CSR payments and dismiss the appeal.
Health insurers have warned for months that they will raise premiums if the Trump administration and Congress fail to fund crucial cost-sharing subsidies. Now, the Trump administration faces the threat that states will sue over the payments.
The healthcare administrator allegedly accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said.
As the Senate moves forward with debate on its Affordable Care Act repeal and replace plan, Modern Healthcare is taking a look back at the winding path of healthcare reform this year.