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McKesson Corp. is settling allegations of drug pricing inflation with Virginia Medicaid, in one of the largest such recoveries for a state.

Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.

In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.

Eliminating a traditional management exercise as old as the budget may seem risky to hospital CFOs, but many businesses have done just that. Some say using a 19th-century tool to manage a 21st-century organization makes little sense.

If we are to reduce health disparities in the U.S., we will have to do a better job of primary prevention. Investments in certain "social determinants of health" represent an underappreciated approach to this problem.

UNC Health Care is using IBM big data analytics to help hospital workers reduce costly and preventable readmissions, decrease mortality rates and improve patient care.

Medicare Advantage plans are beginning to contribute to the moderating trend of the growth in Medicare per capita spending, which is at overall historic lows as a result of fewer hospital readmissions and shift to generic prescription medications.

With the difficulties that individuals have already faced in trying to access, shop and enroll online in the health insurance exchanges attracting most of the roll-out attention, it’s easy to forget that every new major online venture also opens consumers to the possibility of fraud.

Pent-up demand for health insurance and curiosity about what the exchanges have to offer proved too much for the federal and many state systems to handle upon opening of the health insurance marketplaces.

The hospital chargemaster assumed a new role in 2013 – that of a villain in the story of the already high and growing costs of healthcare. But it may be a case of miscasting.