News

NEWARK, NJ – Horizon Blue Cross Blue Shield of New Jersey and Partners in Care are expanding their Patient-Centered Medical Home pilot, which manages the care of just under 1,400 diabetics, to o...

A final regulation giving states more flexibility in designing their own Medicaid programs - including adjusting benefit packages to more closely align with beneficiary needs - has been released by th...

Senate Budget Committee Chairman Kent Conrad (D-N.D.) and Sen. Sheldon Whitehouse (D-R.I.) have asked the Government Accountability Office to study best practices used by states, hospitals and other c...

The Centers for Medicare & Medicaid Services has proposed three national coverage determinations (NCDs) to establish uniform national policies designed to prevent Medicare from paying for certain...

Emdeon, which develops and markets revenue and payment cycle management technology for the healthcare industry, has unveiled the U.S. Healthcare Efficiency Index to monitor business efficiency in heal...

Healthcare IT can improve the quality of care received by the chronically ill and lower costs, according to a report by the Agency for Healthcare Research and Quality. The report, issued by A...

Highmark providers, such as primary care physicians, specialists, healthcare facilities and hospitals, now have access to tools to assist them in discussions with Highmark members about out-of-pocket...

State officials are urging the federal government to help them with a $140 billion budget shortfall expected before 2010. Due to the declining economy, states face an increased call for Medic...

Humana Military Healthcare Services, a subsidiary of Humana Inc. and the TRICARE Contractor for the South Region announced that MinuteClinic services would be available to TRICARE beneficiaries in a n...

The Condell Health Network has agreed without litigation to pay the United States and the state of Illinois $36 million as a result of filing false claims for reimbursement.The health system volunt...