The Centers for Medicare & Medicaid Services identified $3.75 billion in improper payments within the Medicare Recovery Audit Contractor program, according to CMS' annual RAC report to Congress for fiscal year 2013.
Are publicly-traded healthcare firms less likely to take on debt when their CEOs receive compensation through stock options?
Three more hospitals dropped out of the Pioneer ACO program, leaving the long-tange financial vaibility of the program in doubt.
Americans have become angry over rising healthcare costs, Consumer Reports reported.
The protracted war between hospitals and recovery audit contractors over how to handle short-stay payment appeals took a new turn as the American Hospital Association demanded a new concession in a recent settlement offer over RAC clawbacks..
Leaders in states hostile to the Affordable Care Act are under increasing pressure to expand Medicaid coverage.
With hospital finances under pressure, top executives must find new ways other than salaries to attract and recruit top talent.
Bon Secours Health System in Richmond, Virginia, may expand its trial bundled payment program for total joint replacement, according to Hospitals & Health Networks.
It's generally accepted that the rates of surgery patients vary across small and large geographical regions across the county. But the reasons for such huge variations are complicated, Stateline reported.
One of the Bay Area's largest public health providers asked for a bailout due to deep financial problems, leading to speculation that its hospitals are ineptly managed, the Contra Costa Times reported.
Prodding physicians to follow recommended care guidelines can help reduce utilization and reduce costs, the Wall Street Journal reported.
Regions with excess hospital beds tend to provide patients with more services than they need, according to a new report by National Public Radio and Kaiser Health News.
A North Carolina hospital may set the tone for physician employment at acute care facilities in the future, the Raleigh News & Observer reports.
In a healthcare environment where small hospitals increasingly have no choice but to affiliate with larger facilities and chains, the new primary consideration is often which network to join.
Hospitals fully fund more than a third of all continuing medical education, but some wonder whether they get their money's worth.
Specialty surgeons insert themselves into medical procedures--often without the knowledge of the patient--driving up costs considerably, the New York Times reported.
The challenges of operating an ACO that cuts costs without losing money can be so daunting that some ACO operators may launch a Medicare Advantage health plan to replace it, according to Healthcare Finance News.
New Hampshire is one of the few states that compels insurers to report and make public the rates insurers pay to providers--which sometimes leads to lower hospital prices, Kaiser Health News reported.