Though a federal appeals court appeared open to tossing at least some parts of the Affordable Care Act, insurers and hospitals have yet to do much contingency planning.

Health insurer Anthem has hired Cynthia Ridgeway, a longtime attorney for the U.S. Justice Department, to be its corporate strategy director.

By year's end, Akron, Ohio's two major health systems will be owned by outside entities, a reality that just a few years ago some leaders were reluctant to embrace.

On the stump, Joe Biden is aggressively defending the Affordable Care Act. Besides confronting President Trump, Biden is also challenging some of his Democratic rivals who want to replace the current insurance system with a government-run model.

Digital health company Livongo, which filed to go public in June, has revealed more details on its proposed initial public offering.

Scientists are closing in on a long-sought goal — a blood test to screen people for possible signs of Alzheimer's disease and other forms of dementia.

Though nurses have traditionally been employed in inpatient acute-care settings, more and more nurses are now playing a larger role in providing and coordinating care across the continuum of care.

Nurses are on the front lines, spending a lot of time with patients and their families. Every visit is an opportunity to open the lines of communication, especially on the topic of vaccination.

Nearly 98% of clinicians who participated in MIPS last year will receive a positive payment adjustment in 2020. At the same time, MIPS lost nearly 142,000 clinicians.

The workers said they will call the strike unless Kaiser bargains in good faith and ultimately mends the worker-management partnership.

After five years, Together Health Network, an ambitious effort by three of the leading health systems in Michigan to contract with payers and employers and achieve shared savings for its hospitals and doctors, has closed down.

Advocates hope Congress will pass a temporary funding bill for innovative mental health centers in eight states.

The CMS' proposal would boost payment rates for home health agencies in 2020 and implement several changes to the way it pays for the services they provide.

The vast majority of those 3.5 million people had data exposed in a single nine-year incident discovered earlier this year, dating back to April 2010.

The star ratings were last updated in February after a 14-month hiatus, but prior to that were typically updated every six months. Under that schedule, the new ratings would have been due for release in August.

The CMS won't use performance on a smoking cessation measure it significantly changed as part of the Medicare Shared Savings Program for 2018 after strong opposition from accountable care organizations.

The Trump administration lost a court battle and pulled back a separate regulation, creating uncertainty over what comes next on drug prices.

A House panel will dig into the federal government’s efforts to crack down on illicit fentanyl.

The proposed rule is the latest move in a long-running struggle to make sure Medicaid patients have adequate access to care.

Health systems are increasingly testing computerized customer service reps known as chatbots for their ability to improve patient and employee experiences.

Results from Modern Healthcare’s 43rd annual Hospital Systems Survey highlight the need for more precise definitions around risk-based contracting. One thing’s for sure: The transition to risk is happening slowly.

Dr. Jonathan Lewin describes how the academic health system is using partnerships and organic growth to solidify its presence in the local Atlanta market, regionally and nationally

The newly fired employees at Mount Carmel Health System in Columbus, Ohio, include five physician, nursing and pharmacy management team members. The health system's CEO is also resigning.

For healthcare leaders across the industry, caring for providers—ensuring they can get back to their core calling to care for patients—may be the most important work we do. And it starts by focusing on culture.

Federal prosecutors charged Dr. Vasso Godiali with inflating and submitting false claims to Medicare, Medicaid and Blue Cross and Blue Shield of Michigan.

In early 2017, WakeMed Health & Hospitals in Raleigh, N.C., pioneered the use of enhanced recovery tactics for heart surgery and has reported impressive outcomes.

The changes include altering reimbursement for kidney treatment, revising rules to ensure that kidneys reach patients more quickly, moving more patients into home dialysis and encouraging development of artificial kidneys.

Adam Boehler, HHS deputy administrator and director of CMMI, has been nominated for another federal position.

About 34% of medical malpractice claims over a 10-year period that resulted in permanent injury or death to a patient were caused by diagnostic errors, a new study finds.

Societies looking to avoid future healthcare costs strive to give every child early exposure to parental and social stimulation. It’s why every country in the OECD offers paid family leave for new parents: except one.

Aspirus in Wisconsin is poised to become a $1.4 billion, nine-hospital health system with its proposed acquisition of Divine Savior Healthcare.

Medicare Advantage insurer Clover Health is launching a business to develop more effective medicines for elderly patients with chronic diseases.