Cleveland Clinic CEO: Hospitals' high risk of closure is driving consolidation

U.S. hospitals are operating at only 65% occupancy, Toby Cosgrove said in an interview with FOX Business Network.

By Meg Bryant • Nov. 23, 2016

Study: Millions of children in US lack essential healthcare

Children who don’t get proper medical care may also lag academically and later on in the workforce, the Children’s Health Fund report concludes.

By Meg Bryant • Nov. 22, 2016

HCCI: Healthcare spending up 4.6% in 2015

Spending on prescription drugs grew faster than any other healthcare service in 2015, according to the Health Care Cost Institute.

By Jeff Byers • Nov. 22, 2016

DOJ, Anthem square off in court over Cigna megamerger

U.S. District Judge Amy Berman Jackson expects the case to be decided before January's end.

By Ana Mulero • Nov. 21, 2016

Cigna launches anti-opioid prescribing initiative

Opioid diagnoses increased 3,203% from 2007 to 2014, Fair Health reported.

By Luke Gale • Nov. 21, 2016

5 financial considerations in the Anthem/Cigna-DOJ trial

The antitrust trial begins today.

By Ana Mulero • Nov. 21, 2016

Blue Shield of California staying the course on Obamacare

“We wouldn’t be running for the hills,” Blue Shield of California CEO Paul Markovich told California Healthline.

By Meg Bryant • Nov. 18, 2016

CMS releases API tool to ease MACRA reporting

The tool is the first in a series of efforts aimed at relieving the burden of participating in the Quality Payment Program.

By Meg Bryant • Nov. 18, 2016

Access to care in US worse than other high-income nations, survey finds

“The U.S. has far too many people who can’t afford the care they need, even when they have health insurance,” says lead author Robin Osborn.

By Meg Bryant • Nov. 18, 2016

GOP leaders plan major Medicare overhaul

Rumored HHS secretary candidate Tom Price (R-GA) said such a program reform could involve a reconciliation process.

By Jeff Byers • Nov. 17, 2016

UnitedHealthcare still out from Tricare after appeal

The nation's largest insurer has lost its lucrative role serving the military's Tricare system.

By Heather Caspi • Nov. 17, 2016

Recognizing and preventing medical device fraud

“The medical device area is particularly susceptible to kickbacks for physicians,” says Arnall Golden Gregory partner and former Justice Department attorney Sara Lord.

By Meg Bryant • Nov. 17, 2016

ACA market enrollment hits 1M in midst of repeal threat

Despite the uncertainty around Obamacare – or perhaps because of it – consumers have flocked to HealthCare.gov.

By Heather Caspi • Nov. 17, 2016

Hospital consolidation drives increases in private payer rates, MedPAC finds

The gap between reimbursement rates set by private payers and by Medicare is growing.   

By Luke Gale • Nov. 17, 2016

9 ways hospitals can reduce debt

Many hospitals and health systems don’t have a complete handle on what their costs of care are and they’re losing money as a result, says BDO Consulting’s Patrick Pilch.

By Meg Bryant • Nov. 16, 2016

Anthem, DOJ prep battle plans for next week's merger trial

The DOJ suggests the deal is illegal regardless of what its impacts might be.

By Heather Caspi • Nov. 16, 2016

Obama challenges GOP to do better on healthcare

The outgoing president said he'll be the first to congratulate the GOP if they can improve on the ACA.

By Heather Caspi • Nov. 16, 2016

Who will be the next HHS secretary? Reader reactions, questions for a Trump presidency

Many readers want to see more policy details for Trump's healthcare proposals.

By Jeff Byers • Nov. 16, 2016

Watch: ACEP parodies Cigna ad to highlight fair emergency care coverage issue

"Many people don't realize how little insurance coverage they have until they visit the ER, and then they are shocked at how little their insurance company pays," ACEP President Rebecca Parker stated.

By Luke Gale • Nov. 16, 2016

Diving into the MIPS timeline, performance categories & scoring

Around 600,000 providers will be affected by the new reporting requirements. 

By Luke Gale • Nov. 16, 2016

States eye tweaks to Medicaid expansion as they await GOP policy

Stakeholders are betting the new administration will put more power in states' hands to design their own programs.

By Heather Caspi • Nov. 16, 2016

Court rejects Illinois co-op's 'risk corridor' lawsuit

The decision could be a sign of how similar lawsuits may fare.

By Meg Bryant • Nov. 15, 2016

HHS Secretary Burwell: Obamacare 'now woven into the fabric of our nation'

The head of HHS provided an inside perspective on the potential demise of the ACA.

By Heather Caspi • Nov. 15, 2016

Cerner looking to branch out with genomics testing

Eighty-two Cerner employees have volunteered their DNA profiles for the company's pilot program that aims to prevent illnesses or reduce their effects.

By Meg Bryant • Nov. 15, 2016

Paul Ryan sets sights on Medicare as part of ACA fight

The House Speaker is attempting to lump the programs together in a single healthcare overhaul.

By Heather Caspi • Nov. 15, 2016