Medicare & Medicaid

Healthcare ‘economic boom,’ signals coming disruption
Apr 17 | Beth Jones Sanborn
Despite favorable conditions, hospitals must shore up efficiencies, distinguish themselves from…
Banner Health to pay $18 million over false claims act allegations
Apr 13 | Beth Jones Sanborn
Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered…
Apr 12 | Beth Jones Sanborn
House Speaker was a long-running opponent to the Affordable Care Act and his departure raises questions about how…
CBO: Medicare spending will climb 7 percent
Apr 12 | Jeff Lagasse
The CBO's report follows similar projections that the Centers for Medicare and…
Aetna whistleblower accuses CVS Health of fraud
Apr 10 | Susan Morse
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies…
AHIP: Medicaid advances use of preventative care services
Apr 09 | Susan Morse
Adults are four times as likely, and children at least two-times more likely, to…
Star ratings jump strengthens MA plans
Apr 04 | Susan Morse
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Maryland experiment falls short of financial goals
Apr 04 | Jeff Lagasse
Paying hospitals a fixed global budget reduced their prices but individual physicians continued to…
Survey: Physicians like Medicaid work requirements
Apr 03 | Beth Jones Sanborn
"The survey strongly suggests that the majority of physicians would like to move away from the…
Physicians see $11-54B of challenged revenue
Apr 03 | Jeff Lagasse
While conventional wisdom holds that it should be more challenging for doctors to bill private…