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Roberto A. Fernandez ran a seven-year scheme, took kickbacks, sold prescriptions for addictive opioids and submitted false claims to Medicare, DOJ says.

The AMA dashboard includes the "wins" and "asks" for MACRA's merit-based incentives and alternative payment models.

Bill is seen as a last-ditch effort for Republicans to repeal and replace the Affordable Care Act by the Sept. 30 deadline for budget reconciliation.

As providers focus on access, connectivity, social determinants and bridging gaps in care, they will be able to apply techniques to wider populations.

The data showed infants with major birth defects accounted for less than 6 percent of the premature births, but a quarter of expenditures.

ACO and hospital executives say they want greater flexibility in models for Medicare, Medicaid and dual-eligible patients.

The Graham-Cassidy bill will likely come to a vote before the Congressional Budget Office is able to provide its evaluation of the bill's effects, which means Avalere's estimates will likely be one of the only sources available before its ultimate fate is decided.

The physician payment programs are more workable for than preceding federal models, but some unrealistic expectations are emerging.

Improvement is possible at any time and from any starting point, but shedding a few pre-conceived notions comes first.

Acquisition helps position Anthem as a dominant player in a market projected to increase in enrollment, revenue, but shrink in the number of insurers.