Quality

Prime Healthcare Services, a national hospital system with 45 locations in 14 states, and its CEO have agreed to pay $65 million to settle a whistleblower case alleging false claims.

Bayer has shot back after a documentary aired on Netflix took aim its controversial birth control implant, Essure.

The U.S. will soon spend close to 20 percent of its gross domestic product (GDP) on health, according to The Wall Street Journal, up from the current level of about 18 percent. In December 2017, the healthcare industry became the nation’s largest employment sector. 

California’s maternal death rates been halved as pregnancy-related deaths increase in the U.S. Safety experts and hospitals in California have worked together to implement improved practices. So why haven't other states done the same? A USA Today investigation looks for an answer.

The FDA released a warning Monday, July 30, about the safety and effectiveness of vaginal “rejuvenation” or vaginal cosmetic procedures. Companies have been offering services using lasers or similar energy-based devices to treat symptoms and conditions related to menopause, urinary incontinence and sexual function.

Physicians employed at small, independent primary care practices (SIPs) in New York City report dramatically lower levels of burnout, according to new research published July 9 in the Journal of the American Board of Family Medicine.

Higher occupancy rates in hospitals don’t necessarily mean more infections. Rather, a facility can have the highest risk for Clostridium difficile infections when capacity was in a Goldilocks zone—not too full, not too empty—between 25 and 75 percent, according to new research from the University of Michigan and RAND Corporation.

Emphasize program integrity in audits of state claims for federal match funds and medical loss ratios (MLRs). CMS will audit some states based on clinical services spending and quality improvements.

Individuals from Mississippi were indicted for defrauding insurance companies for $200 million with high-priced compounded formulations and bribing providers—including dentists, physicians and nurse practitioners—to prescribe those medications to patients they never examined.

After his appointment as CEO of the new Amazon-Berkshire Hathaway-JPMorgan Chase healthcare venture, Atul Gawande, MD, stated the undertaking will look to target wasteful spending, while providing better outcomes and satisfaction and removing “some of the middlemen" from the system.

CMS recently announced Medicare’s hospital insurance (HI) fund will be depleted by 2026—three years earlier than previously projected. A new report from the American Academy of Actuaries examined the numbers—finding eliminating the HI deficit would require an immediate 28 percent increase in standard payroll taxes.

Emergency departments, particularly in rural areas, are strained by shortages of physicians and other providers, including nonemergency doctors and advanced practice providers, according to a new study published in the Annals of Emergency Medicine.