News
More than half of all Medicare claims denial appeals are overturned by administrative law judges according to a recent report by the HHS Office of the Inspector General.
A recent New England Journal of Medicine (NEJM) study points to a new pilot program that offers payment models that may encourage hospitals to better coordinate transitions of care, resulting in fewer readmissions.
At a time when the nursing home industry is lobbying Congress to avoid cuts in Medicare payments, a federal watchdog agency is reporting that taxpayers overpaid nursing homes $1.5 billion.
In an effort to accelerate the development of innovative care models within their respective health systems, Piedmont Healthcare and WellStar Health System announced earlier this week the joint formation of the Georgia Health Collaborative, the first such organization in the state.
On Wednesday the acting U.S. Commerce Secretary Rebecca Blank announced the four recipients of the 2012 Malcolm Baldrige National Quality Award, which includes one healthcare network.
Like all major mature markets, the pharmaceutical industry is facing big changes that are playing havoc with productivity and profits. A new analysis released Thursday aims to help pharma usher in a new era of prosperity.
The Illinois Department of Healthcare and Family Services has selected eight managed care companies to coordinate health care for about 136,000 Medicaid-Medicare eligible patients, as part of the federal government's dual eligible demonstration with the states.
The nonprofit think tank Catalyst for Payment Reform has found links between provider market concentration and increasing healthcare costs, and in a new report outlines a number of recommendations for finding value-based payment delivery models.
Two former eHealth executives have launched a free consumer information website called HealthPocket.com, aimed at bringing more transparency to insurance markets.
With the intention of forming a collaborative network of 20 non-competing, not-for-profit health systems in the Southeast, WellStar Health System announced yesterday that it had acquired the trade name, trademark and other assets of the bankrupt Center for Health Transformation (CHT), a for-profit think-tank founded by Newt Gingrich.