The owner and chief financial officer of Sacred Heart Hospital in Chicago, along with four affiliated physicians, have been arrested and charged with conspiracy to pay and receive kickbacks for referrals of Medicare and Medicaid patients.
Policymakers in Tennessee, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Louisiana, Texas and Oklahoma say they can't afford to expand the program, even though the federal government would fully fund expansion between 2014 and 2016.
In this exclusive interview, Brent Grimes, administrative director of patient account services at Integris Health, tells FierceHealthFinance how Integris is using data analytics to weather shrinking reimbursements and inform its collections strategy.
Under state law, Massachusetts payers and providers will both offer pricing information to consumers starting in October.
A new study by the Urban Institute examines projected state-by-state spending burdens under the planned Medicaid expansion in 2014 and shows a wide variation in who pays what.
A review of Europe's diagnosis-related group payment codes suggests the United States could cut down on healthcare costs by refocusing its own DRGs, according to a new study in Health Affairs.
Sequestration-related cuts are posing a bottom-line threat to nonprofit hospitals, as indicated by a recent downbeat report from Moody's Investors Service.
The Affordable Care Act extends Medicaid eligibility not only to the roughly 650,000 Americans released from prison custody every year, but also the approximately 5 million others who are on parole and probation.
The American Hospital Association has asked the Health Resources and Services Administration (HRSA) to delay by at least six months the imposition of a new rule for the 340B drug discount program that would bar institutions from purchasing drugs for outpatients through a group purchasing organization.
Nonprofit hospitals could get leeway concerning community health needs assessments (CHNA) requirements, thanks to a newly proposed rule from the Internal Revenue Service that will excuse minor and inadvertent omissions and errors.
Mortality rates at critical access hospitals have been increasing 0.1 percent annually in recent years.
The era of healthcare-related credit card has waned since the Great Recession, accelerated in part by the likelihood of greater access to insurance starting next year, reported Fox Business.
A bill being debated in the North Carolina legislature would enhance transparency regarding hospital costs and bills, reported the Winston-Salem Journal.
Lawmakers in Pennsylvania and California are considering legislation that would clarify the work hospitals need to do to preserve their not-for-profit status.
Rural hospitals, particularly facilities in the South, are seeing their finances come under greater pressure as a result of factors ranging from healthcare insurance to their states' refusal to participate in the Medicaid expansion as part of the Affordable Care Act.
Maryland is considering a plan that would prevent hospital costs from rising more than the rate of inflation--and would effectively cut future price increases in half.
The 2 percent pending cuts to Medicare payments as a result of the budget sequestration are expected to affect the bottom line of some hospitals to the tune of millions of dollars a year.
Maine's hospitals and a state agency are at odds over determining profit margins for inpatient facilities--a potentially complicating factor in deciding how much money is owed to providers under the state's Medicaid program.