Bargaining leverage, not the cost of providing complex care, is the main reason why some hospitals can demand prices twice as high as their competitors’ and still get contracts to treat privately insured patients, according to a new study. The analysis by the Center for Studying Health System Change...

When smaller hospitals are rebranded under a large health system, there may be concerns that the hospitals will lose their personal touch and become more corporate or distant. For Flint, Mich.-based McLaren Health Care and its 10 Michigan hospitals, however, that was not the case. In 2012, it changed...

Since the fourth quarter of 2012, medical record requests from Medicare Recovery Auditors, or RACs, to hospitals have increased 47 percent, according to the American Hospital Association’s RACTrac Survey for the second quarter of 2013. Over the same six-month timeframe, Medicare RACs have boosted their complex audit denials to...

Only a couple of years ago, it wasn’t uncommon for healthcare experts to call accountable care organizations “unicorns.” Despite the excitement and discussion around the model, few people had seen one. ACOs have grown to become much more visible within the past three years, as more than half of...

The U.S. health system is plagued by fragmented care, variable quality, and high and rapidly growing costs. Underlying these problems is the prevalence of fee-for-service payment, in which health care providers are paid per visit, test, or procedure. Not only does fee-for-service payment fail to provide incentives for efficiency,...