Consumer Driven Health Care

The suit alleges Aledade cheated Medicare out of millions using billing software "rigged" to make patients appear sicker than they were, such as coding anxiety as depression, boosting payments by $3,300 a year per patient.

Although employers choose the plans in order to negotiate lower health care prices, they generally lack market power to do so effectively, so they need to critically assess whether it will help their bottom line, says a new study.

Following the Change Healthcare cyberattack, UnitedHealth Group has announced that it has advanced payments to address bottlenecks in the payments system and it will start releasing new medical claims software this week.

The escalating warfare over pricing, which stems from hospital price transparency regulations that have allowed hospitals to compare reimbursement rates with one another, can leave patients without continuity of coverage.

The National Alliance of Healthcare Purchaser Coalitions, which represents large employers that purchase health coverage, identifies and debunks top hospital inaccuracies around high, rapidly rising, prices, in a new report.

President Biden's new executive order, which includes $200 million for research at the National Institutes of Health, directs federal agencies to explore ways to develop new resources to guide women on prevention and treatment.