Reimbursement
A U.S. district court judge ruled in favor of the Federal Trade Commission in an antitrust case that may shape the future of hospital acquisitions of physician groups.
With Maryland Health Connection's website still dysfunctional, the exchange's board is turning to traditional and online brokers to salvage the public marketplace program.
A survey of Medicare ACOs after their first year in operations suggests that all parties, government and private sector health organizations, have improvements to make in the coming years, especially when it comes to sharing data.
Mississippi Gov. Phil Bryant is hoping to better control his state's diabetes epidemic with a new telehealth initiative, launching a public-private partnership to treat at-risk patients in underserved areas.
Horizon Blue Cross Blue Shield of New Jersey has launched the state's first patient-centered pregnancy and delivery episode of care program designed to bring about better outcomes, patient experience and lower costs through better coordination of care for pregnant women.
UnitedHealth Group may be acquiring another digital health company, this time eying the wellness market and an app already in use by thousands of members at a rival health plan.
The increasing incidence of chronic diseases, aging populations, emphasis on diagnosis and disease monitoring and more advanced testing technologies and practices are driving increased use of clinical lab services.
Humana is being sued by an individual policyholder claiming he has been unable to cancel the plan despite months of trying, in what may be first such lawsuit over insurance company practices during the transition to ACA-compliant health plans.
The Department of Health and Human Services is constantly promoting Medicare and the Affordable Care Act, but some Republican senators are getting annoyed with one slogan: "free preventive services."
Yesterday the American Hospital Association, four regional hospital associations and four health systems launched a federal court challenge to the controversial two-midnight inpatient admissions policy established by the Centers for Medicare & Medicaid Services.