The Crystal Lake, Ill.-based Centegra Health System has filed a lawsuit against Mercy Health System and the Illinois Facilities and Services Review Board, alleging that the agency's approval of a new Mercyhealth "micro-hospital" violates the board's own standards, is out of its jurisdiction and...
California hospitals could claw back hundreds of millions of dollars in Medicaid payments after a federal appeals court ruled HHS didn't have appropriate evidence to approve the state's outpatient care pay cuts.
Despite resistance from some colleagues, Rep. Tom Reed (R-N.Y.) thinks a majority of Republicans in the House could sign onto an Obamacare fix.
The appellate court order allowing state attorneys general to intervene in a lawsuit over the ACA's cost-sharing subsidies means the Trump administration cannot unilaterally stop the CSR payments and dismiss the appeal.
Health insurers have warned for months that they will raise premiums if the Trump administration and Congress fail to fund crucial cost-sharing subsidies. Now, the Trump administration faces the threat that states will sue over the payments.
The healthcare administrator allegedly accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said.
As the Senate moves forward with debate on its Affordable Care Act repeal and replace plan, Modern Healthcare is taking a look back at the winding path of healthcare reform this year.
After another round of setbacks, congressional Republicans must regroup and assess their options for repealing, replacing or keeping the Affordable Care Act. They'll need to weigh a number of policy--and political--decisions.
The Chicago U.S. Attorney's Office is creating a new unit to prosecute healthcare fraud, a move that tantalizes the city's white-collar defense lawyers with the promise of more work.
Regulators should close regulatory loopholes that allow certain branded-drug developers to "game the system" and thwart competition, policymakers and healthcare experts said at the U.S. Food and Drug Administration's meeting Tuesday.
Congress will be taking a closer look this week at the future of a federal program that helps hospitals purchase drugs at discounted rates.
U.S. prosecutors announced Thursday that they have charged more than 400 people with taking part in healthcare fraud and opioid scams that totaled $1.3 billion in false billing.