John Commins is a senior editor at HealthLeaders.
In a 2-to-1 ruling, a federal appeals court said Congress 'through clear intent' suspended the government's obligation to pay health insurers for losses accrued during the ACA rollout.
The integrated care network will use two Emory Hospitals in Atlanta for Kaiser Permanente members, with an emphasis on population health management, ambulatory and hospital care.
Policymakers say they need more time to analyze the impact of the changes on hospitals. However, some related metrics will be updated by the end of July.
The Blue Cross Blue Shield of Arizona Shared Savings Program sent more than $148,000 to 148 physicians in the fourth quarter of 2016, in payments ranging from under $1,000 to over $5,000. Stakeholders want to expand on their success.
Hospitals that get bundled payments for joint replacements either voluntarily or through Medicare's mandatory programs, vary by size and volume, but not in spending or quality.
NPs account for 1 in 4 medical healthcare providers in rural areas, but their potential to provide a full spectrum of primary care services can't be realized if states maintain practice restrictions.
Federal prosecutors say the Shreveport, LA-based, post-acute care hospital chain billed Medicare for providing 'inappropriate or worthless services.'
Medicare Trustees in their annual report project that total program costs will grow from approximately 3.7% of GDP in 2017 to 5.8% of GDP by 2038.
For the second time in a month, the Manhattan-based urgent care chain will pay a fine to settle false claims allegations related to government-sponsored health insurance plans.
Using the old axiom, 'If you've seen one Medicaid program, you've seen one Medicaid program,' stakeholders say Scorecard data does not account for state-by-state program variations.