$475,000 fine marks first HIPAA enforcement action over breach notification timing

Presence Health reported a breach but not within 60 days of discovering the problem, as is required by law.

By Kathleen Gilbert • Jan. 10, 2017

Trump's HHS cabinet pick went to bat for major industry donors

Rep. Tom Price (R-GA) made inquiries to the Food and Drug Administration on behalf of constituents 38 times during the past decade.

By Meg Bryant • Jan. 10, 2017

Explore the Trendline➔

Surprise Billing

Federal legislation banning surprise bills has hit a barrage of roadblocks, complicating efforts to protect consumers from unexpected out-of-network charges.

By Healthcare Dive staff

CMS updates home healthcare rules for Medicare, Medicaid

A new final rule includes requirements to improve information communication to patients and caregivers about services provided.  

By Luke Gale • Jan. 10, 2017

Trump wants GOP to quickly repeal and replace Obamacare

"We have to get to business. Obamacare has been a catastrophic event."

By Jeff Byers • Jan. 10, 2017

HHS Secretary poses 3 questions for GOP on ACA replacement

The damage to the individual insurance market would begin this spring with Republican's plan to repeal parts of the ACA, HHS Secretary Sylvia Mathews Burwell said during a National Press Club event.

By Ana Mulero • Jan. 9, 2017

Oscar looks beyond the ACA for business

Whatever the ACA’s future may be, Oscar plans to stay in the health insurance game.

By Kathleen Gilbert • Jan. 8, 2017

HHS: Coverage of Americans with preexisting conditions up since ACA

Roughly 133 million nonelderly Americans — or 51% — have a preexisting medical condition.

By Meg Bryant • Jan. 6, 2017

NQF guidance aims to reduce quality measure variation

The guidance provides a decision-logic framework for determining if variation exists and how to address it.

By Meg Bryant • Jan. 6, 2017

Paul Ryan: ACA repeal would strip Planned Parenthood funding

The nonprofilt reproductive health services organization launched a petition this week to ask Congress for its support.

By Ana Mulero • Jan. 6, 2017

Fairfield University to open palliative nursing center next fall

With the country's aging population growing and end-of-life care burning holes in payers' pockets, efforts to improve palliative care services are underway throughout healthcare. 

By Luke Gale • Jan. 6, 2017

UPDATE: Former Henry Ford CEO Nancy Schlichting not in VA secretary race

Secretary of the Department of Veterans Affairs is one of the last cabinet positions open in the Trump administration. 

By Luke Gale • Jan. 6, 2017

ACA Round-Up: Fault lines show as ACA battle wages on

Democrats work to rally public support while Republicans strive to move quickly to dismantle Obamacare in this political minefield.

By Kathleen McGuire Gilbert • Jan. 5, 2017

Risk corridor case certified as class action

The certification in a lawsuit brought against the government over money owed through the risk corridor program allows all payers who were supposed to receive payments for the 2014 or 2015 benefit years to join the case.

By Luke Gale • Jan. 5, 2017

Healthcare industry continues to weigh in on ACA reform

The Healthcare Leadership Council recommended actions that aim to "bolster the stability of the health insurance marketplace, encourage greater competition, and give all Americans enhanced choice and flexibility in their coverage."

By Ana Mulero • Jan. 5, 2017

What's at stake across the industry for ACA repeal and delay

Let's take a beat to assess the storylines behind the new "if you like your plan, you can keep it" battle.

By Jeff Byers & Meg Bryant • Jan. 4, 2017

Toby Cosgrove favors Cleveland Clinic over VA Secretary position

Cosgrove, formerly seen as the frontrunner for the nomination of secretary of the Department of Veterans Affairs, will stay on as CEO at Cleveland Clinic. 

By Kathleen McGuire Gilbert • Jan. 4, 2017

Pop health vendors challenged by range of provider needs

“The world of population health is so vast that there is not one vendor that does it all for providers,” says KLAS’ Bradley Hunter.

By Meg Bryant • Jan. 4, 2017

Court rules Oregon overstepped in efforts to recover costs for Medicaid beneficiaries

State legislators and courts alike are taking aim at rules allowing governments to make claims against the estates of Medicaid beneficiaries to recoup medical costs. 

By Luke Gale • Jan. 4, 2017

Bizwomen: Johns Hopkins Hospital president not 'nervous' for healthcare over incoming White House admin

President Redonda Miller hopes portions of the ACA "that have been beneficial to patients" will be retained.

By Ana Mulero • Jan. 3, 2017

What we're watching on the road ahead in 2017

Get ready; 2017 will go by faster than you think as the industry changes.

By Jeff Byers • Jan. 3, 2017

House Republicans see tort reform in ACA overhaul

HHS Secretary-designate Tom Price (R-GA) has long pushed for a clamp down on frivolous malpractice claims.

By Meg Bryant • Jan. 3, 2017

Judge rejects legal challenge to EEOC wellness program rule

The shift to value-based care has seen the proliferation of workplace wellness programs. 

By Meg Bryant • Jan. 3, 2017

Healthcare spending for children up 56% since 1996

Researchers attribute large increases in healthcare spending for children to inpatient well-newborn care, ADHD and well-dental care.

By Kathleen McGuire Gilbert • Dec. 30, 2016

The optimism and challenges for putting the 'value' in value-based care

Providers describe a “sweet spot” between getting optimal quality and achieving that at a reasonable cost.

By Meg Bryant • Dec. 30, 2016

Cleveland Clinic's Cosgrove emerges as Trump's top pick for VA

Cosgrove is a cardiac surgeon who served as an Air Force surgeon in Vietnam and was vice chair of a federal commission that studied veterans' healthcare.

By Meg Bryant • Dec. 23, 2016