StrategyWe Asked Prosecutors if Health Insurance Companies Care About Fraud. They Laughed at Us.
To protect their networks and bottom lines, health insurers don't aggressively pursue widespread fraud, making it easy for scammers. Then...
StrategyHospital Giant Sutter Health Faces Legal Reckoning Over Medical Pricing
Sutter stands accused of violating California's antitrust laws by leveraging its market power to drive out competition and overcharge patients.
StrategyAre Your Business Affiliates in Trouble? Prepare to Let CMS Know
The agency finalized a rule to strengthen the government's ability to prevent fraud and block providers from federal health programs.
FinancePIH Health to Partner With Good Samaritan Hospital
The two Golden State providers announced the affiliation Thursday but did not specify an expected closure date.
StrategyHospitals Claim Their Mergers Reduce Costs, Disputing Other Studies
A report commissioned by the American Hospital Association purports to demonstrate the benefits healthcare consolidation brings to patients.
StrategyCVS-Aetna Deal Secures Final Judicial Sign-Off
A federal judge issued long-awaited final judgment in the closely watched healthcare megamerger.
FinanceUnitedHealth-Team Health Feud Could Have Broad Industry Impact
A Moody's report highlighted the similarities between UnitedHealth's disputes with Envision Healthcare and Team Health.
StrategyAdventHealth Acquires Two Florida Hospitals
Heart of Florida Regional Medical Center in Davenport and Lake Wales Medical Center are renamed AdventHealth Heart of Florida and...
Clinical CareMission and Growth: Intersections for Nonprofit and For-Profit Health Systems
Both nonprofits and for-profits need to generate positive operating margins, and nonprofits are becoming more like for-profits in pursuing growth.
FinanceNonprofit Hospital Operating Margins Improve for First Time Since 2016
Fitch Ratings added in its report that the nonprofit healthcare sector has displayed "considerable resiliency."
StrategyErlanger CEO Kevin Spiegel's Fate Uncertain After Special Board Meeting
Facing criticism from system physicians, the CEO defended his leadership and successes.
Clinical Care3 Strategic Differences Between Nonprofit and For-Profit Hospitals
Community emphasis, cost-consciousness, and planning horizon are distinguishing strategic characteristics of nonprofit and for-profit hospitals.