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News

ACOs: Revolutionary, or simply an 'HMO in drag'?

Many have criticized ACOs. Could it be we're doing the same thing over and over and expecting different results (the definition of insanity)? If you're still puzzled by accountable care Read more...

High-deductible plans leave Californians feeling physically, fiscally ill

Roughly three million commercially insured California residents continue to put their physical and financial health in jeopardy by choosing high-deductible health coverage, oftentimes due to their Read more...

Prime Healthcare settles balance-billing lawsuit for $1.2 million

Prime Healthcare, which operates 13 acute-care hospitals and three medical groups in Southern California, on Monday agreed to a $1.2 million settlement for a 2008 lawsuit brought by the state for Read more...

California sets rules on length of HMO patient waits

California regulators have set plans to kick off long-awaited rules which will set standards for how quickly HMO patients must be seen by physicians, as well as setting standards for how promptly Read more...

Group Health rolls out major medical home initiative

The conversation about the "medical home" model--one which, in essence, blends the tools of high tech patient population management with some old fashioned care giving--is quickly moving from an Read more...

Obama cites Colorado town as model for reform

Grand Junction, CO looks like many small American cities, right down to the chain stories and ranch homes. But in one respect, it's quite different: It's known as a land where people get high-quality Read more...

Pay-for-performance programs becoming more established

A new study has concluded that slowly but surely, pay-for-performance programs are becoming more established as part of the healthcare business. The study, the fourth annual survey on P4P by Read more...

Study: Health plans adopting diabetes-control programs

A new report from the National Business Coalition on Health suggests that health plans are increasingly adopting specialized programs to help diabetes patients manage their condition. In a recent Read more...

Balance billing ban upheld

In yet another chapter in the ongoing saga of balance billing, a judge in Sacramento recently affirmed state regulations looking to protect consumers from the practice. Last month, physicians in Read more...

California balance billing ban challenged in court

California physicians were already up in arms about the new ban on balance billing before it even went into effect. So it's little wonder that they have wasted no time in challenging the ban in Read more...

Press Releases

HealthPlus Awards Overpayment Recovery and Cost Avoidance Contract to HMS

NEW YORK--(BUSINESS WIRE)-- HMS, a wholly owned subsidiary of HMS Holdings Corp. (NASDAQ:HMSY), today announced that it had been awarded a contract by Health Plus of New York to perform full source Read more >>