The U.S. Justice Department said its settlement with Atrium Health would prohibit the Charlotte, N.C., hospital system from using anticompetitive steering restrictions in contracts between commercial health insurers and its providers.
The owner of a Detroit medical clinic was sentenced to more than 13 years in prison and ordered to pay millions of dollars in restitution after running an $8.9 million healthcare fraud scheme.
The CMS has drafted a request for information on what barriers HIPAA regulations are posing for care coordination efforts.
The CMS gave the green light to Michigan Medicaid's outcome-based drug proposal, the second of its kind. Oklahoma has yet to forecast savings from its similar state plan amendment approved in June.
States may soon have a new waiver option to use federal funds to pay for Medicaid beneficiaries' treatment at inpatient mental health facilities. The CMS has had a ban on reimbursing those providers for decades.
Week Ahead: AMA delegates to debate preventive care coverage, expanding access to Canadian pharmacies
There won't be any shortage of hot topics at the American Medical Association's interim meeting just outside of Washington, D.C.
After months of controversy — and litigation — over changes to the Title X family planning funding requirements, HHS has clarified that each network needs to include a provider that offers hormonal birth control.
The CMS is drafting a rule that would make it easier for states to stop offering Medicaid beneficiaries paid transportation to medical appointments, a move that could affect providers' revenue drastically.
The Trump administration re-opened an abortion question from the days of Obamacare's passage, proposing that individual market insurers isolate the add-on premium for plans that cover abortion and bill enrollees separately for the surcharge.
HHS has finalized a pair of rules that allow more companies to opt out of covering birth control for their employees.
Massachusetts voters rejected a ballot measure to institute mandated nurse-to-patient staffing ratios next year. California is the only state to have a similar law.
A federal judge temporarily shut down a South Florida-based operation called Simple Health Plans that allegedly collected more than $100 million from tens of thousands of consumers for plans dubbed Trumpcare and simplemedicareplans.