News

Struggling Medicare Advantage and Part D drug plans are being given a last minute reprieve, although they will need to show more improvement if they want to stay alive longer than a year.

For those that are struggling -- and even those that aren't -- a new exit strategy idea is being floated: launching a Medicare Advantage plan.

California's lingering backlog of Medi-Cal applications has left hundreds of thousands of people unable to access the healthcare they are entitled to receive, according to a lawsuit filed Wednesday.

In a scenario playing out in rural areas across the country, a financially-strapped critical access hospital's closure leaves a North Carolina town with limited healthcare.

New research by the Centers for Disease Control and Prevention and Premier, Inc., concludes that the inappropriate use of antibiotics in U.S. hospitals could result in an estimated $163 million in excessive costs.

Call it managed care 2.0. The latest idea in affordable networks is bringing together a large insurer and disparate providers to create a simplified, integrated care system.

What happens when an insurer with the bulk of a state's public exchange membership pulls out?

Hospitals across the country are investing in clinical tools and personnel to solve the long-standing, increasingly expensive problem of readmissions, but hospitals are finding certain patients keep coming back for repeat visits.

The value-based model of healthcare is gradually transitioning from the pilot phase to implementation, as health insurers and providers strive to offer better care while eliminating unnecessary costs. But for providers who have always been paid fee-for-service, it is a different way of thinking.

About a quarter of the 243 groups of hospitals and doctors that banded together as accountable care organizations under the Affordable Care Act saved Medicare enough money to earn bonuses.