BCBS must face antitrust allegations filed against the insurer by a group of employers and providers, an appeals court ruled this week.

Doctors may have heard a lot about MACRA, but not so much about new patient relationship categories and codes.

CMS has failed to recover more than half of the nearly $3 billion in Medicaid overpayments identified by auditors over an 11-year period.

Breast implants—used for both reconstructive and cosmetic surgeries—give a glimpse into how hospitals mark up prices of medical devices to increase their…

ACOs have saved Medicare $2.7 billion, according to an analysis commissioned by NAACOS. CMS estimates pegged savings at $1.6 billion.

HHS Secretary Alex Azar promised Part D reforms would not limit access to antiretrovirals used to treat HIV.

A newly unsealed whistleblower lawsuit accuses the California health system of submitting unsupported diagnosis codes to boost reimbursement.

Kaiser Family Foundation is warning that CMS' changes to 1332 waivers could end up authorizing subsidies for non-ACA compliant plans.

ONC's Donald Rucker, M.D., said he was "extremely optimistic" that provisions of the 21st Century Cures Act would push interoperability forward.