The federal government alleges the city of New York and Computer Sciences Corp. orchestrated fraudulent billing schemes that generated millions of dollars in false Medicaid claims paid to the city.
Aetna will shut down its Delaware Medicaid plan by year-end after the insurer and the state couldn't agree on new managed-care rates.
Medicaid managed-care plans providing coverage under Pennsylvania's Medicaid expansion are struggling to find enough hospitals and physicians for their networks.
After 18 months of negotiations with the federal government, New York state has received permission from regulators to implement a vast revamping of its healthcare delivery system in a bid to lower Medicaid costs.
Erie Indemnity Co., an Erie, Pa.-based company that provides automobile, home and life insurance, has decided to drop Highmark as the health plan for its 4,600 employees because of the ongoing blood feud between insurer Highmark and hospital giant UPMC. Its decision could be a harbinger of what other Western Pennsylvania employers will do next year as they seek to find shelter from the fallout of the battle.
Pittsburgh-based UPMC and Jameson Health System, New Castle, Pa., have signed a letter of intent to merge, a move that would beef up UPMC's provider dominance north of the city.
Health spending in Massachusetts last year stayed below the target set by state policymakers to keep medical bills from growing faster than the economy.
North Shore-Long Island Jewish Health System battled through a sluggish first half of the year, with the Great Neck, N.Y.-based health system still feeling the financial chill from last year's icy, bitter-cold winter.
Kaleida Health kept expenses in check in the first half of 2014, giving the Buffalo, N.Y.-based system higher-than-expected surpluses.
The Cleveland Clinic has chosen North Shore-Long Island Jewish Health System in Great Neck, N.Y., as its exclusive partner in New York for heart-care referrals.
The Occupational Safety and Health Administration has fined Brookdale University Hospital and Medical Center, a 790-bed hospital in New York, $78,000 over dozens of incidents in which patients and visitors assaulted employees.
Maimonides Medical Center posted a higher-than-expected operating loss as patient volume declined in the first half of the year.
NYU Langone Medical Center is well on the mend from the damage Superstorm Sandy wreaked on its New York City facilities more than a year and a half ago, its latest financials demonstrate.
Tufts Medical Center in Boston improved its financial performance in the third quarter of its fiscal year thanks to higher outpatient volume and tightly managing its expenses.
Officials at Allegheny Health Network in Pittsburgh and Johns Hopkins Medicine in Baltimore have ratified a five-year agreement to collaborate on cancer care, research, education and quality improvement.
Pennsylvania's governor announced terms of the contentious breakup of Pittsburgh insurance company Highmark and UPMC, the city's dominant health system.
A distressed, not-for-profit health system in Providence, R.I., has forged a new identity with an out-of-state for-profit company. The joint venture between CharterCare Health Partners and Santa Ana, Calif.-based Prospect Medical Holdings went into effect June 20.
Veterans will go to the front of the line at Cooper University Health Care, a private system based in Camden, N.J., under a new program being started in response to problems with the federal Veterans Affairs Department health system.
A coalition of Massachusetts health systems and physician groups is challenging an agreement that would allow the state's largest healthcare organization, Boston-based Partners HealthCare, to get even bigger.
American researchers have partnered with England's National Health Service to produce a guide on how to better use government-held healthcare data to help both patients and healthcare researchers.