Minimum patient thresholds and high investment levels can be hurdles for most regional health systems to participate in ACOs, but a new collaborative ACO could overcome those challenges.
Texas is the latest state to create a simplified physician credentialing system for health plans. The goal is to draw more physicians into Medicaid programs.
The Green Mountain State's legislature became the first in the nation to approve bulk importation of cheaper prescription drugs from Canada. PhRMA calls the bill 'highly irresponsible.'
Improvement in the CMS ranking metric can also boost enrollment by 8-12% as provider-owned plans compete ever more acutely with traditional payers.
Executives at the two Northern California health systems say the joint operating company is needed to serve remote and rural populations of mostly Medicare and Medi-Cal enrollees.
North Cypress Medical Center's latest appeal is rejected and the hospital must obey a trial court's order that it provide details on its negotiated rates with payers as part of a civil suit.
A RAND study found the VA health system performed as well or significantly better than non-VA hospitals on key measures for inpatient and outpatient safety and care effectiveness.
Prosecutors claim that Alere continued to sell its Triage cardiac and drug test kits even as providers made it known that the device was faulty. The FDA recalled Triage in 2012.
The head of Medicare testified that addressing restrictions designed to prevent fraud and abuse among physicians is ‘an important piece’ of the push for value-based healthcare delivery.
Prescription drug price increases appear to be the biggest driver of healthcare spending, while spending for physician and hospital services decelerated.