Topic: healthcare policy

Centene CEO Michael Neidorff sees net pricing as the PBM model of the future. Analysts say vertical mergers could drive that shift.

HHS is appealing a New Mexico district judge's ruling that the agency's risk adjustment formula is "arbitrary and capricious."

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

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

A doctor has agreed to pay $3 million to settle claims from improperly billing Medicaid and Medicare programs.

Analysts cited new health spending data that shows flat growth in retail drug costs offset by higher physician-administered drug spending.

A coalition is seeking legislative remedies against surprise medical bills such as requiring that patients be informed when care is out of network.

The lobbying group says AHPs will destabilize ACA markets and create an opportunity for abusive insurance practices.

The Department of Health and Human Services has named a new adviser to oversee its drug pricing initiatives. 

A new study found that 16.6% of all healthcare professionals in the U.S. in 2016 were not born in the U.S. and almost 5% are not citizens.