Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare UPMC ordered to continue in-network care for Highmark Advantage patients Friday, May 29, 2015 6:15 PM Pittsburgh-based UPMC must continue to provide in-network services to members of Highmark's Medicare Advantage plans per the terms of an earlier agreement signed by the two feuding organizations, a Pennsylvania judge ruled Friday. First-quarter healthcare spending grows while broader economy contracts Friday, May 29, 2015 6:00 PM Healthcare expenses appear to have climbed at a brisk pace, backing previous calculations that the healthcare industry remains a force even during an otherwise lackluster quarter. Go east, medical device makers! Friday, May 29, 2015 4:30 PM Medical device makers, facing reimbursement and sales pressure in the U.S., are looking to China for opportunities as globalization becomes a key part of their strategy. New Medicare ACO rules near release Friday, May 29, 2015 3:45 PM The CMS is expected to issue final regulations soon that could significantly affect whether hospitals and doctors remain willing to participate in Medicare's accountable care program. Humana explores sale that would shake up health insurance industry Friday, May 29, 2015 3:15 PM Health insurer Humana, Louisville, Ky., is reportedly working with an investment bank to explore a sale. Humana, one of the largest Medicare Advantage insurers in the country, has been a rumored takeover target for more than a year. NextCare acquires three Ariz. urgent-care centers Friday, May 29, 2015 3:00 PM NextCare Holdings, a Mesa, Ariz.-based urgent-care and occupational medical services provider, has acquired three new facilities in Arizona, allowing it to provide care to more than 90% of the state's population. Healthcare computer experts tackle EHR shortcomings Friday, May 29, 2015 12:38 PM A prominent association of healthcare computer experts has a new set of recommendations to address challenges clinicians face as they're expected to do more with electronic health-record systems. U.S. woman wins $100 million in transvaginal mesh case Friday, May 29, 2015 12:00 PM A jury has ordered Boston Scientific to pay $100 million to a woman who, despite two surgeries, still has pieces of transvaginal mesh embedded inside her.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Feds allege pain clinics operated as 'pill mills' 8:45:00 AM A federal grand jury in Baltimore has indicted 16 people associated with pain management clinics in Maryland Washington, alleging the facilities operated as "pill mills," prescribing and dispensing oxycodone for people without a medical... Susannah Fox named first woman CTO at HHS Thursday, May 28, 2015 7:26 PM The longtime Pew Research Center expert on the impact of health information technology and social media on patient engagement and consumers will take over as HHS's top technology adviser. 'Show me the money' is not the right approach in preventive care Thursday, May 28, 2015 7:04 PM A new report calls for increasing the evidence base for what works in preventive health and incentivizing prevention and public health measures. One expert says the call for financial analysis of these efforts should end "foolish economic... Northwestern Memorial, KishHealth propose affiliation Thursday, May 28, 2015 5:19 PM Northwestern Memorial HealthCare, Chicago, has signed a letter of intent to affiliate with the two-hospital KishHealth System in DeKalb, Ill. UnitedHealth Group cautiously optimistic on Supreme Court subsidy ruling Thursday, May 28, 2015 4:15 PM The U.S. Supreme Court case over the Affordable Care Act's subsidies will be decided in the next month, and the nation's largest health insurer remains guarded about how it thinks a ruling would affect the healthcare industry. Teva will pay $1.2 billion in FTC pay-for-delay settlement Thursday, May 28, 2015 4:00 PM Drugmaker Teva Pharmaceuticals will pay $1.2 billion to purchasers to settle allegations by the Federal Trade Commission that a company it acquired stalled generic versions of its popular sleep-disorder drug Provigil from entering the market. Lehigh Valley Health Network, Pocono Health System in tentative deal Thursday, May 28, 2015 3:49 PM Lehigh Valley Health Network, the growing system in Allentown, Pa., would expand its geographic reach under a tentative deal with the Pocono Health System, based in Tobyhanna, Pa. Rhode Island reports spike in STD infections Thursday, May 28, 2015 3:46 PM Rates of HIV and other sexually transmitted diseases are on the rise in Rhode Island, a trend the state's department of health attributes to better STD testing, as well as higher rates of high-risk sexual behavior. Administration asks judge to toss House healthcare suit Thursday, May 28, 2015 3:30 PM A skeptical federal judge grilled Obama administration lawyers Thursday over the House GOP's healthcare lawsuit, sounding unlikely to side with the president and dismiss the case. Elderly at risk as generic drug costs rise, savings drop Thursday, May 28, 2015 3:29 PM Prices for a number of generic prescription drugs most commonly used by seniors saw their smallest decline in nearly a decade in 2013, according to a new report. Researchers say it's the start of a trend that could limit access to some medications...

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare First hearing in House lawsuit over Obama health law 8:45:00 AM Obama administration attorneys are urging a federal judge to throw out an election-year lawsuit by House Republicans over the president's healthcare law. Military mistakenly shipped live anthrax samples 8:45:00 AM The Centers for Disease Control and Prevention said Wednesday it is investigating what the Pentagon called an inadvertent shipment of live anthrax spores to government and commercial laboratories in as many as nine states, as well as one overseas,... Study confirms early treatment is best for HIV 8:15:00 AM A major international study says HIV patients shouldn't delay in seeking treatment: Starting medication soon after diagnosis helps keep people healthy longer. FBI said to probe devices known to spread cancer in women Wednesday, May 27, 2015 7:00 PM Federal investigators are reportedly probing medical devices linked to spreading cancer in women and examining what Johnson & Johnson, at one time the largest manufacturer of laparoscopic power morcellators, knew about the dangers before pulling... New Medicaid rules put states in tough position Wednesday, May 27, 2015 6:07 PM A slew of new quality standards outlined in the 653-page proposed CMS rules are meant to modernize Medicaid managed-care regulation and improve quality of care. But cash-strapped state agencies might not be able to manage the load, experts say. Telemed docs no more or less likely to prescribe antibiotics Wednesday, May 27, 2015 5:00 PM Antibiotic prescriptions were as frequent among doctors providing care through a telemedicine appointment as physicians who saw patients face-to-face, a new study found. But the types of antibiotics prescribed via telemedicine could increase... New Medicaid medical-loss ratio won't strip insurer profits Wednesday, May 27, 2015 5:00 PM The federal government is loosely capping the profits of Medicaid managed-care insurers. But many large companies already live within the proposed ratio, raising questions about the regulation's influence. Texas Health Resources finances continue to recover from Ebola impact Wednesday, May 27, 2015 3:45 PM Texas Health Resources continued to demonstrate that it has fully recovered from last year's brush with the Ebola virus, which had only a fleeting impact on its financial performance. The system achieved a higher operating margin in the first... Finley chosen to lead Alameda Health System Wednesday, May 27, 2015 3:00 PM Delvecchio Finley, CEO at Harbor-UCLA Medical Center, will serve as the next CEO of Alameda Health System, a public safety net system that serves California's Alameda County.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Private Medicaid plans face sweeping new regulations under CMS proposal Tuesday, May 26, 2015 6:30 PM The CMS issued a wide-ranging proposed rule intended to modernize the regulation of Medicaid managed-care plans. The Medicaid managed-care population is growing rapidly, but the last regulation governing such plans was issued in 2002. UPMC offers buyouts to 3,500 workers Tuesday, May 26, 2015 5:07 PM In Pittsburgh's fiercely competitive market, the UPMC health system announced voluntary buyouts to reduce labor costs. Supreme Court decision could lead to more fraud lawsuits in healthcare Tuesday, May 26, 2015 3:30 PM A U.S. Supreme Court decision Tuesday won't extend the statute of limitations in fraud lawsuits, as many in the healthcare industry had feared it might. But the ruling could make it easier, in some cases, for whistle-blowers to file fraud lawsuits... CMS plans new website to better track fraud Tuesday, May 26, 2015 3:15 PM The CMS wants to launch a system to track enforcement actions against Medicare providers over questionable claims. Fraud costs the federal government an estimated $60 billion to $90 billion annually.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare 'Ugly' potential fallout from Supreme Court healthcare case Monday, May 25, 2015 12:54 PM A Supreme Court ruling due in a few weeks could wipe out health insurance for millions of people covered by President Barack Obama's healthcare law. But it's Republicans -- not White House officials -- who have been talking about damage...

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare New Hampshire hospitals say Medicaid expansion is working Sunday, May 24, 2015 6:36 PM The number of uninsured people showing up in New Hampshire emergency rooms continues to drop, a trend hospital officials attribute to the state's expanded Medicaid program. Mississippi hospital could lose Medicare funds Sunday, May 24, 2015 6:17 PM Officials have warned a Jackson hospital it could lose Medicare funding if the hospital does not change how it handles emergency care patients.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Massachusetts healthcare industry spent $19M lobbying state lawmakers Saturday, May 23, 2015 7:06 PM Hospitals, insurers, doctors, unions and pharmaceutical companies spent a record $19 million trying to sway Beacon Hill lawmakers last year, a reflection of the industry's political and economic muscle and a rapidly changing healthcare landscape. Democrats see skimpy insurance as the next healthcare issue Saturday, May 23, 2015 1:09 PM A different healthcare issue has emerged for Democrats, in sync with the party's pitch to workers and middle-class voters ahead of next year's elections.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Senate approves deal to avert construction halt at Denver VA Friday, May 22, 2015 6:27 PM The U.S. Senate has approved a last-minute deal to avoid a construction shutdown at a troubled veterans hospital outside Denver. Imminent CMS rule could boost managed long-term care in Medicaid Friday, May 22, 2015 4:00 PM The CMS is about to release a sweeping proposed rule that could fuel a major expansion of Medicaid managed long-term care for elderly and disabled beneficiaries. Providers need to prepare for switch to chip cards Friday, May 22, 2015 4:00 PM A national conversion from magnetic strip-based credit and debit cards to cards embedded with security enhancing computer chips is already underway and could prove a boon to providers, after some upfront costs and hassles. Vision loss and poverty correlated Friday, May 22, 2015 2:45 PM Researchers have found a correlation between poverty and severe vision loss. They also identified the South as having the most poor people with bad vision. Experts say the problem is not because there are a lack of optometrists. Crosson named MedPAC chairman Friday, May 22, 2015 2:45 PM The Medicare Payment Advisory Commission has appointed former Kaiser Permanente executive Dr. Francis "Jay" Crosson to replace Glenn Hackbarth as chairman. VA must find millions to finish troubled Denver hospital Friday, May 22, 2015 12:16 PM Construction crews are returning to work at a veterans hospital outside Denver after a last-minute deal with congressional leaders avoided a shutdown of the half-finished project.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Ascension to pay workers at least $11 an hour 1:01:00 AM One of the nation's largest health systems, Ascension Health, will set a system-wide minimum wage of $11 an hour. The healthcare industry employed 2.8 million workers last year who earned the federal minimum wage of $7.25 an hour or less. Press Ganey presses play on Wall Street Thursday, May 21, 2015 6:30 PM Press Ganey Holdings stock began trading Thursday on the New York Stock Exchange and closed at $27.50 per share. The patient-satisfaction measurement firm based in South Bend, Ind., announced Tuesday that 8.9 million shares would be sold at $25 per... 21st Century Cures bill approved for full House vote Thursday, May 21, 2015 5:00 PM House committee members Thursday voted unanimously to move the proposed 21st Century Cures Act toward consideration by the full body. Grassley presses CMS on Medicare Advantage fraud Thursday, May 21, 2015 5:00 PM Sen. Chuck Grassley (R-Iowa) is pressing the CMS and the U.S. Justice Department to crack down on Medicare Advantage fraud -- an issue that's spurring a growing number of lawsuits and could be costing the government billions. CMS blinks in Medicaid stare down with Florida Thursday, May 21, 2015 4:15 PM The CMS is appearing to blink in its stare down with Florida over Medicaid expansion. The agency informed state officials that it tentatively plans to renew a waiver that has provided Florida billions in supplemental Medicaid funding to help... AHIP CEO Karen Ignagni leaving for EmblemHealth Thursday, May 21, 2015 4:00 PM Karen Ignagni, the longtime head of America's Health Insurance Plans, is leaving the industry's powerful lobbying group to become president and CEO of EmblemHealth, a financially troubled insurer based in New York. Experts urge swift call for help to investigate data breaches Thursday, May 21, 2015 3:15 PM IT staff at CareFirst Blue Cross and Blue Shield believed they contained a data hack back in June. But on Wednesday, the insurer said data on 1.1 million individuals was breached. Experts warn any delay in responding to a breach can aggravate... Indiana county starts needle exchange under new state law Thursday, May 21, 2015 3:00 PM Indiana's rural Scott County, currently at the epicenter of an HIV outbreak, received approval Thursday to operate the first needle-exchange program allowed under a new state law. Cancer docs back bundled pay Thursday, May 21, 2015 1:59 PM A payment reform strategy offering consolidated billing codes and bundled cancer-care payments aims to "fundamentally restructure" the way cancer care is paid for in the U.S.

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