Managed care company Centene has agreed to pay $13.7 million to New Mexico to settle an investigation into its subsidiaries’ inflationary pricing and reporting of pharmacy benefits in the state’s Medicaid program, which is overseen by the state’s Human…
The Supreme Court on Wednesday handed up a ruling in favor of hospitals’ claims to 340B drug reimbursement, but left questions for providers as to how they will be made whole for the two years they didn’t receive billions from the Department of Health …
The American Hospital Association is urging Congress to prevent the Medicare sequester cuts to hospitals that are scheduled to go into effect on July 1.
Physicians at Corona Regional Medical Center and Temecula Valley Hospital in California have threatened to leave the hospitals if for-profit owner Universal Health Services changes the staffing management firm to Envision Healthcare, according to an em…
A spotlight has been put on Medicare Advantage denials for claims and pre-authorizations since an Office of the Inspector General report that found MA plans denied requests that met original Medicare coverage rules.
The Department of Health and Human Services, through the Health Resources and Services Administration, is launching the Building Bridges to Better Health: A Primary Health Care Challenge.
Health system Providence has launched software analytics company Advata by combining KenSci, Colburn Hill Group, Lumedic and three other companies. The new firm will focus on revenue cycle management solutions back-office management, population health …
The American Medical Association is praising a bipartisan gun proposal that would give grants to states for red flag laws, provide spending for mental health treatment and school security and give extra scrutiny for gun buyers under the age of 21, acco…
Two hospitals in Georgia, both part of the Northside health system, have become the first facilities to be fined by the Centers for Medicare and Medicaid Services for noncompliance with federal price transparency rules that went into effect last Januar…
The American Hospital Association has urged the Centers for Medicare and Medicaid Services to extend enforcement discretion for the No Surprises Act regulatory requirement that healthcare providers exchange certain information to create a good faith es…
