News
HealthEdge, which develops software for payers, has acquired Click4Care, a firm that specializes in care management technology for health insurers.
Use of prepayment edits saved Medicare at least $1.76 billion in fiscal year 2010, but a new study by the Government Accountability Office found that savings could have been greater had the edits been more widely used.
Healthcare, business leaders urge Congress to keep hands off Medicare Part D in fiscal cliff negoti…
A diverse group of more than 350 healthcare, patient, veterans and business organizations on Tuesday urged Congressional leaders to reject any proposal to turn the Medicare Part D plan into one that resembles the rebates structure of Medicaid drug programs.
The U.S. Department of Health and Human Services' Office of the Inspector General (OIG) is investigating Minnesota's Medicaid managed care payment rates to HMOs between 2008 and 2009.
Acting CMS Administrator Marilyn Tavenner and other CMS officials announced on Monday that states which embark on a partial expansion of their Medicaid systems would not qualify for the full 100 percent funding under the Affordable Care Act's Medicaid expansion provision.
Acting CMS Administrator Marilyn Tavenner and other CMS officials announced on Monday that states which embark on a partial expansion of their Medicaid systems would not qualify for the full 100 percent funding under the Affordable Care Act's Medcaid expansion provision.
In this week's HIX Digest: Vetoes and defaults, Republicans question United tech acquisition, state of EHBs and the open source option.
A confidential memo obtained by a major New England newspaper says that Steward Health Care System withdrew from a deal to acquire Mercy Health System because the Maine system misrepresented its finances.
According to a recent study of 54 hospitals across the country by Aon and the American Society of Healthcare Risk Management, 80 percent of hospital risk managers are now self-insuring their physicians.
An annual list of issues facing physicians doesn't offer any surprises. The Physicians Foundation released today its Physicians Watch List, five issues the nonprofit organization has identified as likely to have the most impact on doctors in 2013.