Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare HHS touts health plan choice, affordability despite rising premiums Friday, October 30, 2015 6:00 PM The average premiums of popular health insurance plans sold on HealthCare.gov will rise much more rapidly next year than in 2015. HHS maintains that people will still have plenty of affordable options, but some locales will see higher prices and... Humira sales helped double AbbVie's profits Friday, October 30, 2015 4:15 PM AbbVie's third-quarter earnings more than doubled in a performance that topped expectations, and the drugmaker's forecast for 2016 and beyond helped send its shares soaring on Friday. Is Walgreens circling the PBM market? Friday, October 30, 2015 4:00 PM With its recent acquisition of Rite Aid, Walgreens re-enters the increasingly in-demand pharmacy benefits management services market. Experts say that could be a sign of larger things to come, like increased power to lower drug prices. LifePoint boosts net income with cost control, new deals Friday, October 30, 2015 3:30 PM In a quarter when many investors had braced themselves for bad news, LifePoint Health bested expectations, highlighting strong cost controls and the benefit of acquisitions even amid same-hospital admission declines. A few blips mar ICD-10 rollout Friday, October 30, 2015 1:00 PM While overall claims processing under ICD-10 appears to be going smoothly, reports from the field indicate there are a few problem areas that still need fixing. Profit at Medicaid insurer Molina multiplies further Friday, October 30, 2015 1:00 PM Molina Healthcare's third-quarter earnings were approximately three times higher than at the same point last year, further fueling the Medicaid managed-care company's highly profitable year. Next Kentucky governor will decide health coverage for many residents Friday, October 30, 2015 12:57 PM The Republican candidate in Kentucky's gubernatorial race has said he would eliminate the state exchange and roll back Medicaid expansion. His Democratic opponent has vowed to continue the programs. Aging, shrinking sisterhood drove latest Catholic healthcare consolidation Friday, October 30, 2015 12:29 PM The planned breakup of Wheaton Franciscan Healthcare is the latest example of how the shrinking and aging population of women belonging to religious orders can drive consolidation among religion-based healthcare systems. Final two-midnight rule dismisses suggestions on 'physician judgment' Friday, October 30, 2015 12:26 PM The CMS is standing by the controversial two-midnight rule and will not be implementing changes proposed by industry and policy stakeholders, including a popular suggestion to create a one-midnight rule. The agency will also allow physicians to... More than 450 hospitals pay over $250 million in cardiac-device investigation Friday, October 30, 2015 11:30 AM More than 450 hospitals have settled with the government for more than $250 million as part of a yearslong, nationwide investigation into the suspected overuse of implantable cardiac devices, the U.S. Justice Department announced Friday.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare BREAKING: More than 450 hospitals pay $250 million in cardiac-device investigation 11:30:00 AM More than 450 hospitals have settled with the government for $250 million as part of a years-long, nationwide investigation into the suspected overuse of implantable cardiac devices, the U.S. Justice Department announced Friday. Philidor to shut down after Valeant cuts ties 9:00:00 AM Valeant Pharmaceuticals has cut ties with Philidor following accusations that it was a "phantom pharmacy" used solely to artificially boost sales. Valeant said Friday that the mail-order pharmacy has informed the company that it will shut down. Medicare softens reimbursement blow to home health providers Thursday, October 29, 2015 6:56 PM The Medicare pay cut for home health providers in 2016 won't be as big as the CMS proposed in its draft payment rule, which the industry said would put some agencies out of business. Healthcare spending grows three times faster than GDP Thursday, October 29, 2015 4:45 PM National healthcare spending growth ballooned to more than three times the rate of the rest of the economy in the third quarter, as healthcare employers continue to hire at a breakneck pace, the federal government reported Thursday. CMS rule addresses how provider payment cuts hurt Medicaid beneficiaries Thursday, October 29, 2015 4:00 PM The CMS released a final proposed rule Thursday requiring Medicaid agencies to monitor access to care for beneficiaries, particularly when a physician rate payment reduction is sought. The rule was first proposed in May 2011 because of concerns with... Warner Chilcott to plead guilty to healthcare fraud, will pay $125 million Thursday, October 29, 2015 4:00 PM Drugmaker Warner Chilcott has agreed to plead guilty to healthcare fraud and will pay the government $125 million to resolve civil and criminal allegations, the U.S. Justice Department announced Thursday. Officials also arrested the company's former... CMS' proposed discharge changes would hit home health agencies Thursday, October 29, 2015 3:45 PM The CMS is proposing a massive overhaul of the discharge process for hospitals, rehabilitation facilities and home health agencies. The latter would likely be hardest hit, facing an annual cost of $283 million, the agency says. Baylor Scott & White: Communication is key during mergers Thursday, October 29, 2015 3:31 PM Merging two companies can be incredibly arduous from a financial, operational and legal perspective. But the process is also a challenge for PR professionals, who must quickly determine how to communicate the merger to the public and successfully... Mental-health reform bills advance as some House Democrats raise objections Thursday, October 29, 2015 11:33 AM The legislation seeks to clarify privacy rules to ensure that providers know they may share some diagnostic and treatment information with parents and other caregivers. Experts say legal concerns about sharing information between behavioral and...

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Aetna tops 3Q profit forecasts, raises 2015 guidance again 8:45:00 AM Aetna joined a growing list of health insurers topping Wall Street's quarterly profit expectations, and it did so despite higher taxes and a number of acquisitions. Healthcare spending grows modestly among commercially insured, except for drugs 1:01:00 AM Overall healthcare spending among patients who get their health insurance from an employer grew at a tepid rate in 2014, but spending on prescription drugs jumped significantly, stemming almost exclusively from pricey hepatitis C drugs. Blog: Novartis backtracks on comments regarding $390 million settlement Wednesday, October 28, 2015 5:37 PM Novartis issued a "clarification" Tuesday on comments attributed to its CEO saying a $390 million federal settlement wouldn't change the company's future behavior. The settlement, which has not been finalized, would resolve charges that... Sophisticated software drives up price of cardiac mapping systems by 50% Wednesday, October 28, 2015 3:00 PM The average price that healthcare facilities paid for cardiac mapping systems was 50% higher between June and August as compared with the same period last year. Medicare ACOs get final waivers for Stark, kickback laws Wednesday, October 28, 2015 3:00 PM More than three years after the launch of the Medicare Shared Savings Program for accountable care organizations, HHS finalized waivers that help participants avoid tripping federal laws that police financial relationships among physicians and... IPC's revenue spikes, margins shrink Wednesday, October 28, 2015 3:00 PM Hospitalist staffing firm and post-acute-care provider IPC Healthcare announced a spike in net revenue for the quarter ended Sept. 30, as the company prepares to become part of TeamHealth this year. Proposed changes to 340B could drive away a third of participating hospitals Wednesday, October 28, 2015 12:18 PM Up to a third of hospitals currently participating in the 340B drug-pricing program say they would consider opting out if proposed regulatory changes are finalized, a leading advocacy group said on Wednesday. Hospitals fall short on ACA charity-care rules Wednesday, October 28, 2015 12:16 PM The clock is ticking on new rules under the Affordable Care Act that aim to ensure that hospitals devote more resources to charity care. But the rules don't appear to be yielding the desired effect. Legacy Health and PacificSource Health Plans pursue partnership Wednesday, October 28, 2015 12:15 PM Legacy Health, Portland, Ore., and PacificSource Health Plans, Springfield, Ore., will team up in an effort to reduce costs and improve healthcare quality. Few EHRs score well on new AMA usability ratings Wednesday, October 28, 2015 12:11 PM Only three electronic health-record systems got perfect scores for usability—two made by Allscripts and one by McKesson Corp.—out of 20 products rated by the American Medical Association and a group of researchers.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Leapfrog: Hospital improvement 'sluggish' despite some stars 9:00:00 AM The Leapfrog Group has released the second round of its bi-annual hospital safety scores, which show "sluggish" improvement in patient safety among the nation's hospitals. Anthem customer base grows in 3Q, tops expectations 8:45:00 AM Anthem reported a 4% increase in third-quarter profit and beat Wall Street forecasts as the number of people the health insurer covers edged slightly higher. Utah's Arches Health Plan marks 10th co-op closure Tuesday, October 27, 2015 6:46 PM Another gravestone has been added to the Affordable Care Act's co-op cemetery. Arches Health Plan in Utah will shut down by the end of 2015, the state said late Tuesday. GOP candidates may talk Medicare during next debate Tuesday, October 27, 2015 5:39 PM The third Republican debate at the University of Colorado is set to focus on economic issues.That means the candidates are likely to address the plans they've outlined for revamping Medicare and Medicaid. FDA releases Theranos inspection reports Tuesday, October 27, 2015 3:00 PM The Food and Drug Administration released inspection documents Tuesday that are critical of lab startup Theranos' device classifications, internal recordkeeping and lab protocols. N.J. union files unfair labor charge against Meridian Health Tuesday, October 27, 2015 1:03 PM A New Jersey union has filed an unfair labor practice charge against Meridian Health, claiming its nurses were warned against posting about labor negotiations on social media. HCA downplays third-quarter spikes in labor costs, uninsured Tuesday, October 27, 2015 12:51 PM HCA's shares popped briefly this morning as the Nashville-based chain reassured investors on an earnings call that its third-quarter challenges are one-time issues.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Budget deal includes proposed cuts to Medicare payments 8:45:00 AM A two-year $80 billion federal budget deal that could be announced as early as Tuesday would continue sequester spending cuts and limit future payment rates for hospitals that set up or buy off-campus facilities. Novartis income drops 42% in Q3 after sale a year earlier 8:45:00 AM Swiss pharmaceutical giant Novartis says net income fell 42% in the third quarter, largely due to the sale of its hepatitis drug unit a year earlier and provisions for legal settlements and fees. 1,800 hospitals will see value-based purchasing bonuses in fiscal 2016 Monday, October 26, 2015 5:24 PM Medicare will reward more hospitals than it will penalize in fiscal 2016 under the value-based purchasing program launched under the Affordable Care Act, the CMS said Monday. Search the CMS data to see how hospitals performed. Sissel case asks Supreme Court to take on ACA's origins Monday, October 26, 2015 4:00 PM Challengers of the Affordable Care Act asked the U.S. Supreme Court on Monday to hear another case about the law, this time arguing the healthcare law is unconstitutional because it is a revenue-raising bill that began in the Senate instead of the... Senators want FTC to investigate saline shortage Monday, October 26, 2015 3:48 PM A bipartisan group of U.S. senators wants the Federal Trade Commission to investigate possible antitrust violations by manufacturers of saline solution, which in recent years, has been in short supply in U.S. hospitals. Window shopping on HealthCare.gov: High-deductible plans abound Monday, October 26, 2015 2:15 PM Consumers browsing HealthCare.gov for health insurance ahead of next week's open-enrollment period will immediately notice a couple items: a quicker window-shopping experience and many more high-deductible health plan options. More CMS oversight slows Medicaid managed-care rate-setting Monday, October 26, 2015 1:43 PM Health insurers say increased oversight from the CMS' Office of the Actuary has made the rate-setting process for Medicaid managed-care plans unpredictable. Michigan docs face more scrutiny on drug prescriptions Monday, October 26, 2015 1:33 PM Doctors and pharmacists in the state agree that a more robust and user-friendly monitoring program would help combat the rising drug overdose problem. ASCO says site neutrality won't cure cancer-care payment issues Monday, October 26, 2015 12:00 PM The American Society of Clinical Oncology says the CMS should look at episode-based or bundled payment instead of site-neutral payment, as federally proposed. Blog: Specter of congressional action pushed EHR vendors to agree on interoperability measures Monday, October 26, 2015 11:27 AM With the government breathing down developers' necks to achieve more interoperability for electronic health records, a dozen competing executives stopped hissing and clawing at each other long enough to agree on a way to survey and measure IT's...

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare New plea to high court by ACA opponents unlikely to get hearing 10:30:00 AM The conservative Pacific Legal Foundation plans to ask the Supreme Court on Monday to overturn the ACA based on the claim that the Constitution requires all tax-raising bills to originate in the House of Representatives. The lower courts have... Feds investigating California nursing home 10:30:00 AM The owner of California's largest nursing home chain is facing more scrutiny. Huron stock plummets on weak sales projections Saturday, October 24, 2015 12:45 PM Huron Consulting's shares plunged more than 25% on Friday after the company announced plans to cut annual revenue projections due to weakened demand and project delays in its health care and legal segments. Walgreens puts hold on more Theranos centers Saturday, October 24, 2015 12:00 PM Walgreens Boots Alliance has placed a temporary hold on expanding Theranos blood-testing centers after an all-day meeting at the startup company's headquarters in Palo Alto, Calif., the Wall Street Journal reported late Friday.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Drug compounder offers cheap version of $750-a-pill Turing drug Friday, October 23, 2015 8:45 PM Stepping into the furor over eye-popping price spikes for old generic medicines, a maker of compounded drugs will begin selling $1 doses of Daraprim, whose price recently was jacked up to $750 per pill by Turing Pharmaceuticals. Athenahealth sees profit hike from expanding network Friday, October 23, 2015 7:10 PM Athenahealth, Inc., a cloud-based electronic health-records company, Thursday reported considerable growth in its third quarter ended Sept. 30, after adding a record number of providers to its network. Investor-owned hospital companies head into choppy waters Friday, October 23, 2015 6:13 PM The third quarter is already shaping up to be a difficult one for publicly traded hospital chains, and the full picture will begin to take shape this week as earnings season begins. Study by non-partisan GAO on ACA eligibility flaws draws fire Friday, October 23, 2015 3:30 PM After a report from the government watchdog said few people were exploiting vulnerabilities in the enrollment process that could allow them to receive insurance subsidies while still enrolled in Medicaid, Democrats in the House called the GAO report... GOP bill would gut health law, halt Planned Parenthood money Friday, October 23, 2015 1:04 PM Republicans pushed legislation toward House passage on Friday that would erase key components of the Affordable Care Act, block federal payments to Planned Parenthood and face a certain veto from President Barack Obama -- should it ever reach him. Revenue grows at Ventas but expenses dampen profits Friday, October 23, 2015 12:37 PM Ventas, a Chicago-based healthcare real estate investment trust, reported moderate revenue growth in the third quarter, but higher expenses weighed on the firm's profits. Senior-care operator Elder Care Alliance appoints permanent CEO Friday, October 23, 2015 12:32 PM The Elder Care Alliance, an Alameda, Calif., not-for-profit operator of assisted-living, memory care and skilled-nursing facilities, has permanently appointed Adriene Iverson as president and CEO.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Ninth cooperative formed under Affordable Care Act closing 7:45:00 AM A South Carolina health insurer has become the ninth insurance cooperative formed nationwide under the Affordable Care Act to fold. Hospital stocks plummet after CHS lowers earnings expectations 1:01:00 AM Hospital stocks plunged Thursday in the wake of Community Health Systems revealing disappointing results in the third quarter. How Anthem's Vivity venture is faring in So Cal showdown with Kaiser 1:01:00 AM Anthem Blue Cross in California says its fledgling alliance of providers exceeded its enrollment target and lured more than half its members from Kaiser. But it's still just starting to build the data infrastructure to allow its hospitals and... Texas launches new ACA legal attack Thursday, October 22, 2015 7:04 PM Texas, joined by Kansas and Louisiana, filed a lawsuit Thursday accusing the federal government of forcing states to pay an unconstitutional tax to help fund the Affordable Care Act. Democrats pushing Republicans to find solution to Part B premium hike Thursday, October 22, 2015 5:26 PM Democratic lawmakers say they are struggling to get Republican lawmakers on board to prevent a 52% spike in Medicare Part B premiums. CHS regional exec heads to Quorum spinoff Thursday, October 22, 2015 1:22 PM Martin Smith will serve as executive vice president of operations for Quorum Health Corp., a spinoff company created by Franklin, Tenn.-based Community Health Systems. Temple's new strategic plan reverses string of operating losses Thursday, October 22, 2015 12:08 PM Temple University Health System, Philadelphia, is seeing returns from a comprehensive turnaround plan designed to focus on higher acuity services while becoming less dependent on filling beds through the emergency department. Medical school enrollment hits another record high Thursday, October 22, 2015 11:59 AM Medical schools experienced record applications and enrollment this fall. They also made gains toward increasing diversity, although recruiting black men remains a challenge. ER expansion fuels Adeptus Health earnings turnaround Thursday, October 22, 2015 11:47 AM Adeptus Health, Lewisville, Texas, posted improved results in the third quarter as it continues to pursue an aggressive strategy of expanding free-standing emergency rooms and opening new hospitals. 'Cadillac' tax has same effect as cap on employer benefit tax exclusion Thursday, October 22, 2015 11:42 AM Both options would help fund the Affordable Care Act, but a cap is politically unlikely while the excise tax is already in place, according to a new report from the Robert Wood Johnson Foundation and the Urban Institute.

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