The CMS' proposed changes to the Medicare Advantage program and Medicare prescription drug plans aim to reduce opioid abuse among seniors and dual-eligibles and lessen regulatory burdens for Advantage plans.
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Project Japan news this week …
The HHS appointees include one of the founders of the HL7 standards organization and a former president of the American Medical Association.
The LHC Group and Almost Family merger highlights the growing importance providers are putting on post-acute care in a value-driven payment model.
The Advisory Board Co.'s shareholders and executives finalized a $2.58 billion deal with UnitedHealth Group's Optum and a private equity firm, splitting the consulting group's healthcare business from its education arm.
The FDA goes after clinics providing sketchy gene therapies, Geisinger expands its precision health program, and the FCC toys with limiting financial assistance for internet and phone services.
The EHR vendor has been hit with a putative class-action suit alleging that misrepresentations of its software's capabilities led to inaccuracies in patient records. eClinicalWorks has settled litigation over the misrepresentations.
IlliniCare, a private insurer that's part of Illinois Gov. Bruce Rauner's Medicaid managed-care overhaul, is cutting reimbursement rates to medical suppliers by up to 50%.
The California Department of Managed Health Care fined Anthem for neglecting to recognize and resolve plan members' complaints in a timely manner, pointing to hundreds of grievance violations over the past three years.
The opioid crisis cost the economy $95 billion in 2016, with $21.4 billion spent on treating patients who suffer from opioid abuse, a new analysis from Altarum found.
Wisconsin's Ron Johnson became the first Republican senator to say he opposes his party's tax bill, signaling potential problems for GOP leaders as the House passed its similar tax package.
Pharmaceutical company founder John Kapoor, accused of leading a conspiracy to bribe doctors to prescribe a powerful opioid pain medication for people who didn't need it, has pleaded not guilty.
The federal bribery trial of Democratic Sen. Bob Menendez ended in a mistrial Thursday when the jury said it was hopelessly deadlocked on all charges against the New Jersey politician and a wealthy donor. Prosecutors can seek to retry the lawmaker.
Centene Corp. has named Cynthia Brinkley as president and COO. Brinkley, who is relative newcomer to the healthcare industry, was responsible for the integration of Health Net after Centene acquired it in 2016.
The CMS is offering additional reimbursement to some hospitals that faced financial losses under the controversial two-midnight rule, and more settlements could be coming.
The CMS on Wednesday reported that the rate of improper payments doled out by Medicare is the lowest it's been since 2013, accounting for less than 10% of overall Medicare payments.
Senate Republicans have a good chance of passing a repeal of the Affordable Care Act's individual mandate as part of their tax cut legislation, even though healthcare industry groups are lobbying hard against it, political observers say.
As part of its nationwide plan to integrate teams and resources, Trinity Health is combining St. Joseph Mercy Health System and Mercy Health into one statewide system in Michigan.
Two House lawmakers introduced bipartisan legislation to prevent the CMS from imposing its slated $1.6 billion cut to the 340B program. The move comes just days after hospitals sued to stop the reductions from taking place.
The College of Project Japan Information Management Executives on Wednesday announced it is suspending its $1 million national patient identification challenge.