By aggressively documenting a patient’s conditions, insurers can inflate the amount of money they get from Medicare Advantage patients. Here's what reporters should understand about the hidden practice of "upcoding."
Health Insurance and Costs
This month, early results from one of the key efforts to transform primary care were published, and the results were underwhelming. But here's what we can learn from the initiative.
A hearing clinic trying to balance financial reality with needs of children on Medicaid reaches out for community support.
While innovation will spur many changes in health care, current trends may also create unwelcome developments. Dr. Monya De offers her first five of 10 predictions on what medicine will look like in the decades to come.
Thoughtful comparisons can make all the difference for your audience. For example, the threat of Ebola in the U.S. seems scary until you compare it to drunk drivers, who killed 12,000 in the U.S. in 2014. Ebola killed two.
Victims of the Affordable Care Act's "family glitch" include the Devors family of Salem, Ill., who now find themselves caught in a dire health crisis, without adequate coverage.
Do patient satisfaction scores encourage doctors to deliver better care — or do they lure them into gaming the system? A recent study looked at the link between patient experiences and health care outcomes.
What looks like a straightforward framework to protect California’s budget from escalating drug costs has policy experts perplexed, and potential allies on the sidelines.
Despite recent cost-cutting measures, California’s spending on pharmaceuticals has gone up, and so has the number of pricey drugs it is covering. It’s not clear state agencies have the means to balance drug cost pressures with the best interests of patients, taxpayers and public health.
While nearly half of Florida's kids rely on Medicaid, the program has battled persistent problems that have often left children without proper care. Reporter Maggie Clark of the Sarasota Herald-Tribune shares five key lessons from her reporting deep-dive.