An investigation by the Drug Enforcement Administration led to allegations that the company filled prescriptions when prescribers did not possess proper state licensing while others exceeded the 90-day supply limits.

To reduce expenses, Mass General Brigham said it is looking to eliminate non-clinical positions and is reviewing its 2023 budget plans.

The Mayo Clinic said it is responding to a request for information from Minnesota Attorney General Keith Ellison (D) and wants to present an accurate picture of its billing processes.

Blue Cross Blue Shield of Massachusetts wants to use value-based payment to address racial and ethnic health disparities and has already signed up hospitals including Mass General Brigham and Boston Medical Center.

CMS published a draft regulation that would reshape its process for reviewing Medicare Advantage quality and tighten how insurers can market plans. 

Dr. Baligh Yehia is the second senior executive to join Jefferson Health from Ascension this year, following CEO Dr. Joseph Cacchione.

After a three-month hiatus, the administration is making four rapid virus tests available through covidtests.gov.

U.S. healthcare spending rose 2.7% in 2021 to $4.3 trillion, a much smaller rate of growth from 2020's 10.3% increase.

Centene has chosen a new president, a new chief operating officer and other senior leaders who will work under CEO Sarah London, who joined the health insurance company in March.

Nonprofit health insurers SCAN Group and CareOregon plan to combine and create the HealthRight Group, a $6.8 billion company that would take on for-profit rivals for Medicare and Medicaid business.

Upon launch of the new programs on Jan. 1, approximately 30 percent of BCBSM's total Medicare Advantage members will be seen by a doctor under a full-risk contract.

Twelve of the 34 total healthcare companies rated B3- or lower by Moody’s are categorized as hospitals or other facilities-based providers. 

Brentwood, Tennessee-based Quorum Health has been selling hospitals to pay down its debt and creditors following its Chapter 11 reorganization in 2020. 

Bright Health is considering all available options for raising its share prices after the New York Stock Exchange notified the insurtech it was in danger of being delisted.

Vaccinations prevented more than 18.5 million hospitalizations and 3.2 million deaths, which would’ve amounted to roughly $1.15 trillion. 

The Centers for Medicare and Medicaid Services seeks to update regulations governing the Affordable Care Act's health insurance exchange marketplaces, including setting stricter standards for network adequacy, limiting non-standard plans and modifying the risk-adjustment methodology.

New Florida customers will not be able to sign up for the Oscar Health's exchange plans beginning Tuesday, about a month before open enrollment ends.

A federal judge blocked a Montana law that made it illegal for a person to be denied services, goods or employment based on their vaccine status.

Hospitalizations for people with COVID-19 rose by more than 30% in two weeks, a trend driven in part by older people and those with existing health problems.

Modern Healthcare asked the CEOs of Ardent Health Services, Virtua Health and Monument Health to share their hopes for regulatory and policy updates in 2023.

The federal appeals court decision weakens healthcare anti-discrimination rules for transgender and other LGBTQ people imposed under President Joe Biden.

Health insurance company CEOs raked in tens of millions of dollars last year, and insurtech leaders were at the top despite financial problems at companies such as Bright Health.

The pharmacy giant got another $1 billion by selling more AmerisourceBergen stock to fund VillageMD's purchase of Summit Health-CityMD.

Children’s Hospital Association CEO Mark Wietecha said a major factor in the shortage is a years-long trend among hospitals of eliminating pediatric units.

The deal marks the second major health system merger this year.

The Centers for Disease Control and Prevention is expected to sign off soon, the final step for shots to begin.

This sale advances Centene's value creation initiative, which aims to increase profits through divestitures and leadership changes.

Canon plans a big investment — on the order of $300 million over the next few years — to establish what will be known as Canon Healthcare USA Inc.

Mark Cuban's Cost Plus Drugs and a company founded by the Purchaser Business Group on Health launched a supplemental drug discount health plan benefit for employers.

The FDA’s drug center granted 10 accelerated approvals — fewer than the tally in each of the last five years.

Amazon’s decision to end the Alexa initiative is the latest twist in the tech giant’s topsy-turvy push into healthcare.

UnitedHealth Group and LHC Group had planned to close the deal before the end of the year.

The Centers for Medicare and Medicaid Services wants to simply the process of getting medical care preapproved by health insurance companies.

The restrictions went into effect Tuesday at all IU Health hospitals.

Patients allege Aetna improperly and systematically denied to cover lumbar artificial disc replacement surgeries. The two sides will come to specific terms by February.

Some insurers and employers are tapping into assistance programs meant for individual patients. The concern: Some costly drugs could be harder for patients to access.

The coalition seeks to unite health systems, companies and industry organizations to address issues of inequity in patient care.

Christopher Plummer, senior cybersecurity architect at Dartmouth Health, discusses the importance of employee retention and offers his predictions about future threats.

Nearly three years into the COVID-19 pandemic, the public health sector continues to grapple with numerous challenges, especially related to staffing and funding.

Modern Healthcare hears from leaders at Ardent Health Services, Virtua Health and Monument Health about how they’re responding to ongoing labor shortages.

Linnea Windel is president and CEO of VNA Health Care, a16-site community health center serving suburban Chicago.

Vanderbilt University Medical Center and Medical University of South Carolina Health have transformed struggling shopping malls by opening innovative medical facilities.

"Healthcare organizations had to learn to adapt and be resilient in the face of resource shortages and to meet shifts in consumer behavior and expectations," said Maria Morales Menendez, chief operating officer at Delray Medical Center.

Kaiser Permanente and the California Nurses Association reached a tentative agreement Nov. 17 after more than five months of negotiations.

Nearly a third of Medicaid disproportionate-share hospital payments in 2015 went to hospitals that provided less uncompensated care than the median level in their respective states, according to a study published Monday in Health Affairs.

Christopher Plummer, senior cybersecurity architect at Dartmouth Health, joins The Check Up to talk more about healthcare cybersecurity challenges and ways to stay proactive.

The nonprofit insurer lost its bid to continue to participate in the nation's largest Medicaid program in 2024.

Mpox cases have plummeted in recent weeks, with just a handful of new infections being reported every week in the month of November, according to data from the CDC.

Leaders on Modern Healthcare’s 100 Most Influential People in Healthcare list seek to invest in recession-resistant verticals amid economic headwinds.

Flu season usually doesn’t get going until December or January, but this one began early and has been complicated by the simultaneous spread of other viruses.