News

As healthcare executives look to the year ahead, one key to their growth strategies is pursuing merger and acquisition opportunities.

Self-funded employers with stop-loss coverage can breathe a sigh of relief now that the Internal Revenue Service finalized rules for new health insurance fees, but nonprofit HMOs banking on an exemption will have to pay up.

Dorathy Senay's doctor had some bad news after her last checkup, but it wasn't about her amyloidosis. Her Medicare Advantage managed care plan from UnitedHealthcare/AARP is terminating the doctor's contract Feb. 1.

The hospital CFO's role has expanded thanks to healthcare reform, including taking a more hands-on approach to supply chain management.

Medicare contractors overpaid a number of providers for a breast cancer drug, reimbursing for full vials rather than the administered dose -- a problem federal auditors think could plague other multi-use drugs in Medicare.

The Obama Administration has announced another Affordable Care Act delay, this time for small businesses shopping in federally-run insurance exchanges.

Patients with diabetes who received their heart medications by mail were less likely to visit the emergency room than those who picked up prescriptions in person, a study by Kaiser Permanente found.

HealthCare.gov, the government's hobbled health insurance website, is fixed and running smoothly, CMS officials announced Dec. 1 in a rare Sunday telephone news briefing.

After years of trying to clamp down on hospital spending, the federal government wants to get control over what Medicare spends on nursing homes, home health services and other medical care typically provided to patients after they have left the hospital.

As the government continues to crack down on fraud, healthcare providers are likely to soon become familiar -- if they aren't already -- with civil investigative demands. A former federal prosecutor offers tips to providers on how they can potentially narrow the scope of CIDs.