Tennessee is promising hospitals they can share savings from a proposed Medicaid block grant program, but patient advocates are skeptical.

Changes coming to the way skilled-nursing homes are paid will pinch SNFs that have boosted investment in therapy as well as those treating a smaller share of medically complex patients.

The CMS is proposing bundled payments for radiation therapy to cut Medicare spending. Providers are worried about the impact on quality and their bottom lines.

While federal and state authorities have taken action to curb flavored vaping products after a spate of illnesses related to e-cigarettes, healthcare providers are searching for their role in addressing vaping dangers.

Nearly three-quarters of urban hospital markets are highly concentrated, drawing concern from researchers who warn that less competition can inflate healthcare costs.

About 90,000 clinicians who participated in advanced alternative payment models in 2017 are concerned they still haven't received bonuses from the CMS.

A Houston-area hospital administrator was sentenced to 10 years in prison for defrauding Medicare of $16 million and ordered to pay nearly $6.3 million in restitution. The scheme involved bribes to steer Medicare beneficiaries to two hospitals.

Prosecutors allege the four defendants bribed doctors to send them prescriptions and received millions of dollars in reimbursements for medications they didn't send to patients or even have in stock.

State healthcare budgets grew by 7.3% from 2017 to 2018. New drug payment models can help states get Medicaid costs under control, but they face obstacles, according to a new report.

The CMS wants to repeal a rule that requires states to report on fee-for-service Medicaid payments. Supporters say it will reduce regulatory burden, but opponents argue that it will hurt patients and providers.

Lawmakers are investigating private equity-backed physician-staffing companies to determine whether they use out-of-network billing as a strategy to drive up their pay rates, the latest missive in the surprise medical bill fight.

Jonathan Bush has joined Firefly Health as executive chairman. He left Athenahealth last year in the wake of several allegations, including court documents that detailed "numerous physical altercations" with his now ex-wife.

The 19-hospital system serving the Chicago area loses its CEO and other executives amid industry upheaval, merger integration challenges.

Beaumont Health has sold its home medical equipment business company, its third post-acute care business divestiture this year, to Medical Service Co. in Cleveland for an unspecified price.

The CMS’ much maligned hospital star-rating system is getting an overhaul, but not until 2021. Agency officials are sure to get lots of pointed opinions about the program during a listening session at its Baltimore office.

Some states holding out on a tentative settlement with Purdue made it clear that they intend to object to the deal in bankruptcy court and seek to continue their lawsuits against members of the Sackler family in state courts.

A burgeoning market of operators offering population health management solutions is viewed by some as essential to help the healthcare industry move toward bigger investments in addressing social needs.

A growing focus on patient-centered care—sometimes being called person-centered care—at health systems is putting a spotlight on access, experience and the possibility of “hospital at home.”

For the first time since President Donald Trump took office, both parties are mostly united in wanting to attack the practice of surprise billing and drug prices. But can they deliver?

Community leaders who formed the Albert Lea Healthcare Coalition following the Mayo Clinic fallout lured MercyOne North Iowa as they seek to bring a competitive balance to the rural community.

Swedish Medical Group is piloting a virtual assistant that listens in to patient visits and automatically inputs notes in the EHR—cutting down on documentation time and opening up possibilities for increased patient volume.

The CMS predicts Medicaid spending will reach $1 trillion by 2026. States are trying to control it by coordinating care and targeting basic needs.

The lawsuit fits into the legal battle that providers have been waging for years against the largest behavioral health plan in the country, as United Behavioral Health allegedly denied medically necessary treatment claims.

The FDA has detected a "probable" cancer-causing chemical in Zantac and related medications, which are sold as both prescription and over-the-counter treatments.

Philip Esformes has been sentenced to 20 years in prison after his conviction on 20 counts in what prosecutors described as a $1 billion Medicare fraud scheme.

The board of trustees of not-for-profit Memorial Healthcare was warned by its former CEO and a consultant that its future was either to financially struggle and potentially face bankruptcy, or link up with one of a number of larger health systems in Michigan.

For the first time in its history, the American Medical Association will have three consecutive women presidents. They say the industry needs to be more intentional about promoting diversity.

Too many people here are suffering from deteriorating social conditions that the healthcare system is ill-equipped to address.

High-cost specialty drugs, increases in care costs and declining care utilization will spark a 6.5% hike in employer-sponsored health benefits costs in 2020, according to a new report.

Commercial inpatient spending grew 10.7% from 2013 to 2018, while volume decreased by 12.8%, the Massachusetts Health Policy Commission found.

All people need to feel safe, valued and able to freely express concerns without stigma or shame. Yet, time and time again, we see that some of our neighbors do not seek care because they feel they will be judged and that their needs will not be understood.

A new study found differences among racial groups in where patients were transported for emergency department medical services.