Laura Joszt, MA

CMS has finalized a rule for a bundled payment test for hip and knee replacements that will be mandatory for nearly all hospitals in 67 geographical areas across the country.

Express Scripts has dropped a specialty pharmacy from its network and filed a lawsuit seeking $140 million from Horizon Pharma. The drugmaker claims Express Scripts' lawsuit relates to a previous dispute.

The Medicare Shared Savings Program is the perfect way for primary care physicians to get involved with alternative payments as Medicare moves to replace fee-for-service, explained Hymin Zucker, MD, chief medical officer of the Triple Aim Development Group.

Panelist discuss early referral to palliative care, enduring misconceptions, culture considerations, and more at the Fall Managed Care Forum 2015.

There is an enormous medication adherence problem in the United States, and millions of people could benefit from cognitive therapy, and technology can help.

As the healthcare industry positions itself for the change to value-based care, there needs to be a widespread change in terms of collaboration between physicians, hospitals, and payers.

The government is leading the charge toward value-based care and no matter how slowly, everyone else will follow, said Jacque Sokolov, MD, chairman and CEO of SSB Solutions, during the opening keynote presentation at the Fall Managed Care Forum 2015.

Colorado could be the first state to implement a single-payer healthcare system and opt out of the Affordable Care Act with voters deciding on the issue next year. But the issue is not without controversy.

Success in marketplace enrollment under the Affordable Care Act has varied widely during the open enrollment periods, although some similar factors contributed to high enrollment rates in these 5 states.

Using information in a patient's electronic medical record during outpatient visits for patients with chronic obstructive pulmonary disease can lead to better outcomes, according to a study in Respiratory Medicine.

Americans with veterans or military health, Medicare, and Medicaid have a higher satisfaction with the way the healthcare system works for them. People on plans purchased through the Affordable Care Act exchanges are the least satisfied of insured groups.

The Supreme Court has decided to hear a challenge from religious nonprofits who say the Affordable Care Act's requirement to provide birth control violates their religious beliefs.

A list that seeks both the causes and effects of obesity.

There is not a lot of information about primary medication nonadherence, but it could have a huge impact on patients, as discussed by a speaker at the Academy of Managed Care Pharmacy Nexus 2015 meeting.

Perioperative medication errors and adverse drug events occur in every second operation and in 5% of observed drug administrations, according to a study from Massachusetts General Hospital.

During the last 5 years of life, the cost of dementia eclipses that of other diseases, like cancer and heart disease, according to a study from the National Institutes of Health.

Healthcare spending for the privately insured increased 3.4% in 2014 despite a decline in the use of healthcare services.

Consolidation in the healthcare market continues with an announcement that Walgreens has entered into an agreement to purchase Rite Aid for a total of $17.2 billion.

While the age-standardized death rate for all causes of death combined, as well as heart disease, cancer, stroke, unintentional injuries, and diabetes, have slowed from 1969 to 2013, the rate for chronic obstructive pulmonary disease actually increased.

A new health insurance start-up aiming to aid companies with their employer-sponsored insurance raised $81 million in a new round of financing. The new funding will allow the company to expand its services beyond California in 2016.

CMS has unveiled the latest improvements to HealthCare.gov. However, the agency was not able to complete all additional features in time for open enrollment and will roll the remaining ones out after November 1.

Years after the country was sent into a tizzy over the fear of "death panels," there has been an enormous growth in palliative care in the United States, although it and hospice care are still very misunderstood by patients, said speakers at America's Health Insurance Plans' National Conference on Medicaid.

Senator Tim Kaine (D-VA) discussed Medicaid expansion, the Affordable Care Act, and politics at America's Health Insurance Plans' National Conference on Medicaid.

A decade after the introduction of the Medicare Part D program and the program has seen great success-but that may be coming to an end. Panelists debated just that and discussed rising drug costs during a session at America's Health Insurance Plans' National Conference on Medicare.

While there are reports of high patient satisfaction and well-managed costs in the Medicare program, the next 50 years will be full of new challenges, said Andrew Slavitt, acting CMS administrator, during the opening session at America's Health Insurance Plans' National Conference on Medicare.

Two Harvard Medical School professors debate the merits of the annual physical in editorials published in New England Journal of Medicine.

States can use their prescription drug monitoring programs to detect abuse and misuse of controlled substances, according to a report in the CDC's Morbidity and Mortality Weekly Report Surveillance Summary.

Better support for healthcare providers to reduce stress and prevent burnout was a key point of conversation during the opening keynote at US News & World Report's third annual Hospital of Tomorrow forum in Washington, DC.

By the end of 2016, 10 million people are expected to have insurance coverage through the health insurance marketplaces and be paying their premiums, which is a small increase from the current 9.1 million individuals.