CMS estimates the changes will save the federal government $75.4 million over the next decade in Medicare Advantage and Part D payments.

As she prepares to leave office next week, CMS Administrator Seema Verma fervently defends the Trump administration's efforts to adopt policies that will "reverberate" across the industry.

The request is part of the Federal Trade Commission's revamp of its merger retrospective program that they hope will bolster their enforcement of physician practice mergers and hospital acquisitions of physicians.

The Fifth Circuit vacated the penalty from HHS' Office for Civil Rights. HHS has since conceded it cannot defend the penalty, according to the judge.

A number of prominent health systems have contributed millions of dollars to Heritage Group's third fund. Health systems may be leaning more on investment income given the tough operating environment the pandemic has created.

The health system said the departures are not related to its upcoming merger with Sentara Healthcare. Sentara's CEO is slated to take the helm of the new health system.

In terms of patients affected, December marked the second-highest month in 2020 for healthcare data breaches. It's second to September, when 9.9 million patients had data exposed.

HHS is eliminating certification requirements for clinicians to prescribe the medication-assisted drug therapy buprenorphine in an effort to expand treatment access.

Live updates from Modern Healthcare on the coronavirus outbreak and how COVID-19 is affecting the healthcare industry.

The agency also signed off on its controversial proposal to fully base Medicare Advantage payments on encounter data.

Under Biden's multipronged strategy, about $400 billion would go directly to combating the pandemic, while the rest is focused on economic relief and aid to states and localities.

COVID-19 continues to stretch California hospitals' space and staff, prompting them to prepare for crisis-care plans.

The Medicare Payment Advisory Commission doesn't expect the recommendations to decrease Medicare beneficiaries' access to care or lower quality.

AHA's decision follows those by Blue Cross and Blue Shield and PhRMA, which made similar announcements earlier this week.

Providers, states, patient advocates and members of Congress opposed the rule because it would have ramped up federal oversight of how states fund their Medicaid programs and possibly led to significant funding cuts.

CMS on Thursday significantly changed how Affordable Care Act exchanges will run, including allowing states to waive some requirements and use web-based brokers to sell insurance by 2023, moves that insurers and other industry groups have said would essentially privatize the exchanges.

While vaccination among residents in nursing homes has been high, there is more hesitancy among staff, leaders say.

Google has completed its purchase of wearables company Fitbit following an approval by EU regulators. But the U.S. Justice Department says its probe into the deal is ongoing.

It is not enough to be “not racist.” Health organizations have a solemn duty to heal and facilitate health. We must actively eradicate racism from our policies and practices.

The head of Operation Warp Speed believes the COVID-19 virus is here to stay, and how the country has responded to this crisis can act as a playbook for dealing with the next global pandemic.

J.P. Morgan's annual healthcare conference went virtual this year. Day 4 included Molina Healthcare's update on its shrinking bottom line due to Medicaid clawbacks.

Healthcare cases made up more than 80% of the Justice Department's False Claims Act settlements in 2020, totaling $1.8 billion. The Justice Department cleared $2 billion in healthcare-related settlements every year for the last decade.

Workers filed a class-action suit against cleaning companies contracted by Memorial Sloan Kettering Cancer Center over allegations that they were not paid overtime wages for hours worked.

For more than two decades, Medicare Advantage has successfully relied on public-private partnerships to expand access to care, lower costs and improve outcomes for millions of Americans. It should be available to all.

The Food and Drug Administration will issue draft guidance encouraging developers to explain how they plan to upgrade artificial intelligence and machine learning software in medical devices, among other steps.