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The at-risk model has grown, but for some accountable care organizations obtaining financial benchmarks remains elusive. ACOs that have exited the program in the past said metrics are too high.

Government watchdog estimated that during a 6-month audit period, Medicare paid hundreds of millions for services that did not comply with the agency's requirements.

The new Nantucket Cottage Hospital is being built directly next to the current one, which will be removed once the new building is up and running.

The platform gives providers patient data to earn incentives from risk-based contracts.

Researchers analyzed the immediate cost of sequencing plus downstream spending six months after information was returned to physicians and patients and found that the potential to improve outcomes outweighs associated expenses.

A new analysis shows that resistance costs the healthcare industry more than $2 billion annually and, what's more, can easily surpass $1,000 when treating a single patient.

Insurers in the individual market are starting work on setting premium rates for this October without federal cost-sharing reduction funds or a reinsurance program.

Hospital was able to better grasp what it was was already doing well, and what it was not, in terms of clinical documentation thanks to homegrown software.

States qualify by having at least 85 percent of their Medicaid population in managed care or by reducing provider payments rates.

Insurers get no federal funds for cost-sharing reduction payments or a reinsurance program to help stabilize the individual market.