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Hospitals are using their size and pricing clout to define premiums for people around America, like in the Sutter Health system in California, where hospital prices are among the highest in the nation.
Sutter Health, the most expensive health system in California, is expanding at a rapid pace and transforming itself into an "accountable care organization." Some worry about the nonprofit hospital's growing leverage.
When a little-known GOP Congressman-elect who campaigned against the new health law demanded that the benefits of his new federal health plan start immediately, it was an irresistible opening for some.
But states' increasing use of the private plans is raising questions about whether low-income residents are getting adequate care.
An analysis of Medicare data finds many cancer patients are getting aggressive end-of-life care. The intensive approach might not be best for them and adds to the drain on Medicare's budget.
Millions of Americans might be eligible for rebates starting in 2012 under regulations released Monday detailing the health care law's requirement that insurers spend at least 80 percent of their revenue on direct medical care.
Florida Republican leaders said Tuesday they want to overhaul the Medicaid program and don't want the federal government tying their hands. But their message may fall on deaf ears in Washington.
Patrick Fry is president and CEO of Sutter Health, one of Northern California's largest provider networks with 22 acute care hospitals and thousands of physicians in affiliated medical foundations.
Prominent hospitals and networks, especially those in the San Francisco Bay Area, can keep raising prices beyond inflation because their sizes or reputations give them clout in negotiating rates with insurers, researchers say. Yet high prices don't always equate with superior care.
Though lots of different approaches to controlling health care costs have been discussed, it's hard to know which of them will really work.
With the elections less than one week away, ads making claims about the health law are flooding the airwaves. Many Democrats continue to not mention health reform, while Republicans criticize the law as too large, too expensive and intrusive into Americans' lives.
The result of an unusual collaboration between a prominent liberal group and the prescription drug industry, today's ad uses heart-rending vignettes of "real people" to press for affordable, comprehensive health insurance. Yet some of the people profiled in the ads might not get much relief under the main proposals pending in Congress.
Response has been modest and reviews are mixed for insurance plans set up by the federal health law for people with medical problems.
Nationwide, new physician-owned hospitals are scrambling to open by the end of the year. Beginning Jan. 1, the health law bans them from taking part in Medicare, making it hard for the facilities to survive.
Sweeping agreement with Georgia points to new Obama administration campaign to ensure people with mental illness and developmental disabilities get community services and are not forced into institutions.
The real problem facing our emergency care system is not overuse, it's the lack of a financial and administrative infrastructure to properly support it.
Communities and companies are devising innovative ways to help older Americans work longer, and age gracefully and affordably in their own homes.
State insurance regulators have defined one of the thorniest provisions of the new health overhaul law: the requirement that insurers spend at least 80 percent of revenue on direct medical care.
In states like Illinois, parents can provide at-home care for children with severe illnesses and Medicaid foots the bill. But the funding disappears the minute they turn 21, forcing families to make a painful choice: Find the money to pay for sometimes exorbitant health care costs or send their children to a nursing home.
The health reform law is likely to spur more hospital mergers, fueling a trend that experts say has led to higher hospital prices and insurance premiums.
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