More targeted enforcement activity and reduced regulatory burden led to a nearly $5 billion drop in improper Medicare payments in fiscal 2018.
LifePoint Health has finalized its merger with RCCH HealthCare Partners. The rural hospital operator has been purchased by affiliates of the private equity firm Apollo Global Management, which owns RCCH.
As not-for-profit hospitals' profits slide, balance sheets are at an all-time high, according to Fitch Ratings.
CommonSpirit Health will be the name of the not-for-profit health system formed from the merger of Catholic Health Initiatives and Dignity Health.
New York-Presbyterian is struggling to reach an agreement to remain in Empire BlueCross BlueShield's network. If the two sides can't agree before Jan. 1, New York-Presbyterian estimates that about 300,000 patients could face higher charges next year.
Nearly 4,000 Arkansans lost their Medicaid expansion coverage in October because they didn't comply with the state's new work requirement. Another 8,462 low-income adults lost benefits in the previous two months.
The partnership, which marked the clinic's first heavy play in the insurance business, vastly exceeded expectations in the first year, securing what they estimate to be a 15% share of the individual market in the 2018 open enrollment season.
Independent pharmacists in New York are calling for a state investigation into the practices of pharmacy benefit managers—the companies that negotiate drug prices on behalf of insurers and employers. They blame the PBMs for forcing owners to close up shop.
The ECRI Institute on Monday launched its much-anticipated online repository for clinical guidelines. Officials hope the website will replace the federal government's National Guideline Clearinghouse, which shut down in July.
Geisinger on Thursday announced the launch of a surgical redesign program aimed at expediting healing, improving pain management and reducing opioid use.
Physicians who tend to the nation's gunshot victims pushed back against an NRA tweet telling them to "stay in their lane" after the American College of Physicians updated its positions on reducing gun injuries and deaths.