Walgreens to pay $269 million for overbilling government

National pharmacy giant Walgreens agreed to settle two allegations that it defrauded the federal government and 39 states in elaborate overbilling schemes. more

1/23/2019

Maine governor rejects predecessor's Medicaid work rules

Maine's Democratic governor wrote to the CMS that she's instead directing Maine's health and labor agencies to help prepare recipients of governmental assistance for work. more

1/23/2019

Johnson & Johnson puts up strong profit and revenue in 4Q

A big jump in prescription drug sales, particularly overseas, helped Johnson & Johnson swing to a large fourth-quarter profit after posting a huge loss a year earlier, when it took a $13.6 billion charge related to the late-2017 U.S. tax... more

1/23/2019

Dozens of hospitals sue to end site-neutral payment policy

A group of 38 hospitals sued HHS over a new rule that cuts Medicare payments for some services provided at off-campus hospital sites. more

1/22/2019

CMS revokes Ohio hospital's Medicare funding over low patient volume

The CMS terminated an Ohio hospital's Medicare and Medicaid funding because it didn't serve enough patients. The hospital hopes the agency will delay the decision. more

1/22/2019

Shutdown stories: Rural hospital feels the pain from loan freeze

"We're buying a week at a time." It's Day 32 of the partial government shutdown, and a small rural hospital in New Mexico has seen its USDA loan dry up, threatening a pricey delay of a construction project. more

1/22/2019

Hospital groups urge faster progress toward data interoperability

The American Hospital Association and six other hospital groups say the current "patchwork system" lacks universally agreed-upon ways of sharing and using information. more

1/22/2019

Bundled-payment models' downside risk sparks provider dropouts, GAO finds

Only 39% of hospitals that participated in the second model of Bundled Payments for Care Improvement continued in the model after they faced downside risk. more

1/22/2019

WellCare to help Kentucky Medicaid members meet work requirement

State Medicaid work requirements put pressure on health insurers to help their members find jobs or community service gigs. WellCare Health Plans is launching a program in Kentucky to keep beneficiaries from losing their benefits. more

1/22/2019

Loyola, Palos hospital systems to merge

Independent Palos Health has signed a nonbinding letter of intent to join Loyola Medicine, a not-for-profit three-hospital system owned by Catholic giant Trinity Health. more

1/22/2019