Medicare

With pandemic-era telehealth and Hospital at Home waivers expiring, executives are curtailing or ending some virtual care services. Supporters, meanwhile,...

The pilot program, designed to weed out wasteful, 'low-value' services, expansion the federal use of prior authorization.

The settlement resolves two whistleblower lawsuits alleging the Florida company violated the federal False Claims Act.

Increases are expected to mainly affect stand-alone Part D plans, not the drug coverage offered as part of Medicare Advantage.

After years of saying it?s not as good as in-person care, CMS is now proposing to allow the Medicare Diabetes...

As rural hospitals struggle with mounting financial pressures, some of the biggest urban hospitals are tapping into rural Medicare benefits.

CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization,...

After passage of legislation that could see provider revenues fall by up to $1 trillion, the AHA is vowing to...

In this week's The Winning Edge webinar, executives from three leading health systems discussed how the platform improves clinical outcomes,...

Executives from three health systems leading the way in developing Hospital at Home programs will discuss the benefits, drawbacks and...

While CMS proposes a modest Medicare payment bump and an increase in uncompensated care funds, industry leaders argue it's not...

UnitedHealth Group?s very bad year, what it means for healthcare reform, and 3 predictors happening right now.