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August 21, 2015 | Henry Powderly

Though critical access hospitals will continue to earn less, Fitch Ratings this week said it does not expect the financial struggles to affect these hospitals' credit ratings due to their near 100 percent reimbursement from Medicare and political support that will stave off any attempt to cut payments.


August 18, 2015 | Susan Morse

A doctor at a Brooklyn, New York, clinic was sentenced Friday to two years in prison for his role in a $13 million healthcare fraud scheme, according to the U.S. Department of Justice.


August 18, 2015 | Kaiser Health News

Remember the so-called death panels? When Congress debated the Affordable Care Act in 2009, the legislation originally included a provision that would have allowed Medicare to reimburse doctors when they meet with patients to talk about end-of-life care.


August 4, 2015 | Susan Morse

The Centers for Medicare and Medicaid Services and the State of Rhode Island are contracting with a Medicare-Medicaid plan to provide integrated benefits to approximately 30,000 eligible enrollees.


July 15, 2015 | Anthony Brino

Instead of retiring, Marilyn Tavenner, the former nurse, hospital executive and Medicare administrator, is going to represent the economic and political interests of American health insurers.


June 19, 2015 | Anthony Brino

Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.


May 5, 2015 | Anthony Brino

With new data from the Medicare Pioneer ACOs, accountable care advocates can be cautiously optimistic, although the pessimistic can also find things to latch onto as well.


May 4, 2015 | Anthony Brino

Amid record enrollment, some Medicare Advantage insurers are finding their payment-linked risk scoring practices to be the subject of scrutiny and lawsuits.


May 1, 2015 | Anthony Brino

As part of a bid to improve federal healthcare programs through transparency, a new trove of Medicare Part D data has been released, offering a window into costs and prescribing trends.


April 27, 2015 | Anthony Brino

Blue Cross and Blue Shield companies are setting up their own insurance exchange for retirees switching to individual Medicare plans, a bid to secure lifetime customers from in a new population of seniors.


April 16, 2015 | Jordan Rau, Kaiser Health News

In an effort to make comparing hospitals more like shopping for refrigerators and restaurants, the federal government has awarded its first star ratings to hospitals based on patients' appraisals.


April 10, 2015 | Anthony Brino

Despite some lulls, the war between the University of Pittsburgh Medical Center and Highmark is again raging, now with a battle over Medicare Advantage plans and oncology reimbursement.


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