The Office of Inspector General said a "leadership failure and poor decision making" in the Medicaid Fraud Control Unit in New York has left it unable to properly fulfill its mission to "protect patients from abuse and neglect."

Details are emerging in the extraordinary case of a U.S. toddler who was found alive in a hospital morgue five or six hours after an ER doctor declared the child dead by drowning. 

A patient of Huntsville Hospital Health System says the hospital was negligent when it failed to protect patient data that was taken by hackers during a breach on a legacy Cerner EHR system. The hospital said the EHR vendor is ultimately responsible. 

With Election Day only four months away, healthcare is again emerging as a major source of idealistic campaign promises. Many of these are driven by widespread public angst. What sorts of changes can U.S. healthcare stakeholders realistically expect once the results are in? 

Hospitals are not the only healthcare entities competing over a limited pool of qualified compliance officers. Payers, vendors and others are in the race too. But hospitals and health systems may have the most to lose if they let down their guard on adherence to regulatory rules.

The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating. 

The owners of a local pharmacy in Mississippi have been ordered to pay back the money they stole from Medicare and Medicaid by billing for expensive prescriptions they never dispensed to patients. 

If the economy were an inter-sector track meet in which AI adoption propels the runners, healthcare would be getting repeatedly lapped by financial services. 

A lawsuit claims that nurse staffing levels at Saint Joseph Medical Center in Illinois were too low to meet minimum safety thresholds, resulting in medical errors. Plaintiffs in the case are seeking punitive damages. 

The state is one step closer to enacting legislation that would require imaging and radiation therapy professionals to acquire state licensure to operate radiation-producing equipment. 

The company now has multiple FDA-cleared algorithms for evaluating CCTA results.