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Ten former employees of Progressive Counseling Services LLC, which is based in Virginia Beach, have been convicted and sentenced for their roles in a scheme to defraud the state's Medicaid program by submitting fake claims for mental health services, according to the Norfolk Division of the FBI.

The case hinges on Vermont legislation requiring all administrators of self-insured benefit plans to regularly submit data on medical claims, pharmacy claims, member eligibility, provider and other information for use in the state's unified healthcare database.

San Francisco-based Dignity Health has announced it will limit its investments in thermal coal companies, focusing instead on sustainability and investment opportunities that address climate change.

Since 1993, 11 people have been killed in abortion-related attacks -- doctors, clinic staff, and last week, a police officer and two visitors in the line of fire at a Planned Parenthood clinic in Colorado Springs. While the investigation continues into the shooter's background and motives, David Cohen, a law professor at Drexel University, says that stalking and harassment pose a much more common threat to abortion providers and their families.

One in three family physicians are actively pursuing a move to value-based payment and an additional 19 percent are developing the capabilities for it, a new study sponsored by Humana and conducted by the American Academy of Family Physicians has found.

The Leapfrog Group on Wednesday announced its top hospitals, celebrating 98 facilities for what they determined was excellence in quality of care and patient safety.

Though the outgoing governor of Kentucky and other supporters of the president's Affordable Care Act have been critical of a pledge made by incoming governor Matt Bevin to abolish the state exchange in favor of switching to the federal marketplace, his plan may have little effect on consumers.

Forty-five percent of the silver-level PPO plans coming to the market for the first time in 2016 provide no annual cap for policyholders' out-of-network costs, an analysis by the Robert Wood Johnson Foundation finds.

With just two weeks left in 2015's open enrollment period, close to 395 thousand consumers either signed up for or renewed health insurance coverage during week four November 22-28, according to the Centers for Medicare and Medicaid Services.

Prescription drug spending was fueled largely by new medicines, particularly for specialty drugs such as those used to treat hepatitis C.