The U.S. Justice Department sued Cigna Corp. alleging that the insurer exaggerated the illnesses of its Medicare members in order to obtain higher payments from the federal government.

All four of the country's largest investor-owned hospital chains boosted their year-over-year net income during the second quarter of 2020, despite procedures being suspended for more than an entire month.

Rural hospitals are concerned that CMS could count forgivable small-business COVID-19 relief loans against future Medicare reimbursement.

Anthem sued a former senior executive for allegedly leading a "full-on raid" of its staff and using confidential information to benefit a competing health plan.

The pandemic pummeled the finances of companies across every industry. There are, however, some providers and other healthcare companies that have remained financially strong despite the crisis, and they share a handful of attributes.

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

Once the merger closes, Teladoc shareholders will own 58% of the combined company. Livongo shareholders will own 42%.

CMS suggested increasing Medicare outpatient services pay by 2.6%, cutting 340B payments and streamlining star ratings, among other changes in a massive proposed rule.

Epic workers decried the order, saying company CEO Judy Faulkner was ignoring public health advice, according to a statement made in conjunction with the Industrial Workers of the World labor union.

As the crisis has spread to all reaches of the country, a chasm has widened between the Republican president and the experts. The result: daily delivery of a mixed message to the public at a moment when coherence is most needed.

CMS issued a proposed rule changing how Medicare calculates disproportionate-share hospital payment adjustments for hospitals serving a large number of low-income patients.

Missouri becomes the 38th state to approve expanding Medicaid coverage to thousands more low-income adults.

The COVID-19 pandemic has stripped millions of people of their jobs and health insurance. So far, those newly uninsured have yet to enroll in Medicaid.

CMS will increase Medicare's prospective payment rates for inpatient rehab facilities by 2.4%—or about $260 million—in 2021. The new rule goes into effect October 1.

A dramatic drop in healthcare utilization among Aetna members during the COVID-19 crisis bolstered CVS Health's bottom line in the second quarter of 2020.

For nearly a month, this borderland of 2 million people in South Texas pleaded for a field hospital, but not until Tuesday was one ready and accepting patients. In July alone, Hidalgo County reported more than 600 deaths—more than the Houston area, which is five times larger.

CMS swiftly followed President Donald Trump's Monday order to review and continue Medicare's coverage of telehealth services. The agency is also simplifying billing and coding requirements for office and outpatient visits.

Dr. Michael Ligotti was arrested and charged for allegedly bilking payers out of $121 million via fraudulent tests and treatments for substance abuse patients.

Only 16% of providers are eliminating bonus payouts entirely this year as COVID-19 roils the healthcare industry and the broader economy. 

As the medical community races to bring a COVID-19 vaccine to market, sex and gender researchers urge that the analysis consider differing effects on men and women. 

"Not everybody's going to like the answer," Dr. Francis Collins, director of the National Institutes of Health, recently told an advisory group. "There will be many people who feel that they should have been at the top of the list."

A Chicago woman who last month became the nation's first COVID-19 patient to undergo a double lung transplant said Thursday that she woke up days later, unaware about the surgery and unable to "recognize my body."

While Beaumont Health's losses were higher than in previous years because of the COVID-19 pandemic, cash and investment reserves are stronger this year than last year, the system said.

Health systems with health plans have noticed the steady claims revenue has helped offset significant losses on the patient-care side.

Cedars-Sinai Medical Center shifted roughly half of its new doctor orientation to be done remotely, in large part through a new at-home virtual reality program.