Thursday, 31 March 2016

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FBI: Hospice nurses told to overdose patients to speed death
Wednesday, March 30, 2016 5:51 PM
The owner of a Dallas-area hospice ordered nurses to increase drug dosages for patients to speed their deaths and maximize profits, according to an FBI affidavit.


'Sham' cancer charities agree to $76M judgment, dissolution
Wednesday, March 30, 2016 3:23 PM
Two Tennessee-based cancer charities labeled "shams" by the Federal Trade Commission have settled a massive fraud case, along with their president, by agreeing to a $75.8 million judgment and the dissolution of the businesses. But the government may...


New abortion drug label could undo several state laws
Wednesday, March 30, 2016 3:00 PM
The U.S. Food and Drug Administration has approved a new label for a common abortion-inducing drug that could undo restrictions on medication abortions passed by several states.


Blog: The well-sung Diabetes Prevention Program
Wednesday, March 30, 2016 12:44 PM
The CMS' decision this week to pay for the Diabetes Prevention Program is long overdue since its success in reducing obesity and thereby diabetes risk has been well documented in the medical and healthcare economics literature, and covered by...


CMS banks on Medicare value-based insurance test to lower costs, improve quality of care
Wednesday, March 30, 2016 12:26 PM
The CMS is so invested in a demonstration meant to encourage use of clinically valuable services as a way to lower out of pocket costs for enrollees that it is asking for feedback on how to better the program before it even launches.


Details of Anthem's massive cyberattack remain in the dark a year later
Wednesday, March 30, 2016 12:14 PM
It's been more than a year since health insurer Anthem disclosed a historically large data breach, yet almost nothing new is known about the causes, costs and ramifications.


New federally led task forces to crack down on nursing home abuses
Wednesday, March 30, 2016 12:12 PM
Federal, state and local authorities will collaborate in 10 new regional task forces across the country to toughen enforcement against nursing homes accused of providing grossly substandard care to patients and residents, the U.S. Justice Department...


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Wednesday, 30 March 2016

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ACA member costs run high at Blue Cross and Blue Shield plans
1:01:00 AM
People who signed up for a Blue Cross and Blue Shield plan for the first time after the ACA's exchanges went live in 2014 had higher rates of disease and used more medical services than other insured populations, the Blue Cross and Blue Shield...


Supreme Court decision a win for unions at many hospitals
Tuesday, March 29, 2016 6:23 PM
Public employees' unions may continue to charge dues to non-members who benefit from their collective bargaining activities following a Supreme Court decision Tuesday.


Investors boost healthcare stocks on Fed rate hold
Tuesday, March 29, 2016 5:45 PM
A healthcare sector that is heavily reliant on debt to finance growth received another shot of good news Tuesday when the Federal Reserve Board left the benchmark borrowing rate near historic lows.


Illinois approves closure of Franciscan Alliance hospital
Tuesday, March 29, 2016 5:32 PM
The Franciscan Alliance won approval from Illinois regulators to close one south suburban Chicago hospital under a $137 million consolidation plan.


SCOTUS' order in ACA contraception case suggests indecision
Tuesday, March 29, 2016 5:23 PM
The U.S. Supreme Court asked for suggestions Tuesday of ways to get contraceptives to not-for-profit organizations' employees without involving their employers. That request suggests the justices are trying to avoid a 4-4 split in a challenge over...


Woman sues hospital, saying it flushed her miscarried baby
Tuesday, March 29, 2016 5:19 PM
A woman is suing a Florida hospital, saying an employee flushed the remains of her miscarried child down the toilet.


Providers urge court to forbid statistical sampling in False Claims cases
Tuesday, March 29, 2016 3:00 PM
Several major industry groups have jumped into a case over whether whistle-blowers may use statistical sampling to prove liability in fraud cases, saying allowing such sampling could be "disastrous" for hospitals and other providers.


UPMC commits to boosting minimum wage to $15 an hour
Tuesday, March 29, 2016 2:57 PM
UPMC, the hospital, physician and insurance system headquartered in Pittsburgh, has pledged to raise the minimum wage of workers to $15 an hour by January 2021, following in the footsteps of several other hospital systems.


Blog: Senator says GPOs may play role in high healthcare costs
Tuesday, March 29, 2016 2:55 PM
Sen. Richard Blumenthal (D-Conn.), a persistent critic of group purchasing organizations, wants to examine whether federal provisions that allow GPOs to collect administrative fees drive up patients' healthcare costs.


States, plans get no flexibility under final mental health parity rule
Tuesday, March 29, 2016 2:00 PM
The CMS has finalized a rule that requires Medicaid and CHIP managed-care plans to provide the same level of benefits for mental health or substance-abuse treatment that they provide for medical and surgical care. The final rule largely dismisses...


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Tuesday, 29 March 2016

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Another drug company in the crosshairs of Congress
11:30:00 AM
Shares of Medivation tumbled more than 6% in premarket trading Tuesday after a group of lawmakers opened a campaign to potentially lower the price of its prostate cancer drug.


Obama to address nation's growing opioid problem
8:45:00 AM
The Obama administration will issue a proposed rule Tuesday that aims to increase medication-based treatment for tens of thousands of people addicted to opioids.


Richard Davidson, former AHA president, dies at 79
Monday, March 28, 2016 11:00 PM
Davidson was the second longest-serving president in the trade group's 118-year history. He led national efforts to publicize hospital quality information and championed efforts that led to current-day accountable care organizations.


Novartis battles feds' request for data in whistle-blower case
Monday, March 28, 2016 5:52 PM
Swiss drugmaker Novartis Pharmaceuticals Corp. and federal prosecutors are at loggerheads over discovery in a whistle-blower lawsuit alleging company kickbacks to physicians. The company recently said the probe has "exploded" in its size...


Medicaid expansion, outpatient surgeries bolster IU Health's finances
Monday, March 28, 2016 4:56 PM
Indiana University Health, the behemoth academic hospital system that controls large portions of the Hoosier state, grew its top line in 2015 thanks in large part to the state's conservative Medicaid expansion.


MedStar Health's computers hit by virus in possible ransomware attack
Monday, March 28, 2016 4:52 PM
The virus hit MedStar Georgetown University Hospital and other facilities in the region. A hospital spokesperson said in a statement that the clinics are open and functioning but employees have been unable to log in to systems. The FBI is...


Edward Hospital names Bill Kottmann president and CEO
Monday, March 28, 2016 3:23 PM
Bill Kottmann has been promoted to president and CEO of Edward Hospital in Naperville, Ill. He will officially take the reins on July 1.


Valeant shares plunge after CEO subpoenaed by Congress
Monday, March 28, 2016 3:06 PM
Shares of beleaguered Canadian drugmaker Valeant Pharmaceuticals are plunging again after its CEO was subpoenaed by a congressional committee.


Hospitals want plans to give up more data before getting medical claims info
Monday, March 28, 2016 1:02 PM
Hospitals want health insurance plans to give up more patient information before they can get access to Medicare and private sector claims data. The CMS should also release data from Medicaid and the Children's Health Insurance Program.


HHS pushing Medicaid expansion to curb opioid abuse, depression
Monday, March 28, 2016 11:17 AM
HHS wants to capitalize on bipartisan interest to address opioid addiction and lack of access to behavioral health services by releasing a new report that shows Medicaid expansion could address the crises.


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Monday, 28 March 2016

Modern Healthcare Breaking News

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Federal officials, advocates push pill-tracking databases
1:01:00 AM
The nation's top health officials are stepping up calls to require doctors to log in to pill-tracking databases before prescribing painkillers and other high-risk drugs.


Officials investigating possible Zika virus cases on Oahu
Sunday, March 27, 2016 7:30 PM
Health officials are reminding Hawaii residents to get rid of mosquito-breeding grounds as the state Department of Health is investigating four possible cases of the Zika virus, dengue fever and chikungunya on Oahu.


Indiana counties must fund needle exchanges without state help
Sunday, March 27, 2016 12:45 PM
One of Indiana's four legal needle exchange programs operates out of a cramped 10 foot-by-10 foot office in the basement of the local courthouse in Fayette County, which is struggling with a hepatitis C outbreak amid the state's growing opioid-abuse...


Hospital CEOs, Connecticut spar over finances
Sunday, March 27, 2016 12:30 PM
The latest financial reports for Connecticut's healthcare systems show, even after paying the controversial hospital tax, most were well into the black at the end of the last fiscal year.


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Sunday, 27 March 2016

Modern Healthcare Breaking News

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Helicopter crew, patient killed in southeast Alabama crash
Saturday, March 26, 2016 7:30 PM
Federal investigators say they are investigating the crash of a helicopter in southeast Alabama that reportedly killed three crew members and the patient they were transporting.


UNM Health Sciences Center rejects state's request for Medicaid help
Saturday, March 26, 2016 1:00 PM
The state of New Mexico won't be relying on the University of New Mexico's Health Sciences Center and its $200 million in reserves for help covering Medicaid funding.


Judge rules Alabama abortion restriction unconstitutional
Saturday, March 26, 2016 1:00 PM
A federal judge Friday permanently struck down part of an Alabama law that required abortion doctors to obtain admitting privileges at a local hospital.


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Saturday, 26 March 2016

Modern Healthcare Breaking News

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Catholic Health Initiatives is reviewing its health insurance subsidiary
Friday, March 25, 2016 6:47 PM
National hospital operator Catholic Health Initiatives made an early and decisive push into health insurance after the Affordable Care Act became law. Now that strategy is under review as the system's operations flag.


EmblemHealth signs partnership with Northwell Health
Friday, March 25, 2016 5:41 PM
EmblemHealth and Northwell Health announced Friday an agreement to move away from fee-for-service care, according to a press release. EmblemHealth, led by Karen Ignagni, the former head of America's Health Insurance Plans, insures 3.1 million...


Ascension Health woos veterans in ads
Friday, March 25, 2016 5:00 PM
The campaign tag lines -- "Veterans have a choice in healthcare" and "You honored your oath, and so do we" -- emphasize consumer preference and the shared values of medical professionals and the military. Some veterans groups think that...


Gilead owes Merck $200M in damages over drug patents
Friday, March 25, 2016 4:00 PM
The federal jury in a high-stakes patent trial ordered drugmaker Gilead to pay rival Merck $200 million in damages for infringing on patents for hepatitis C drugs.


Fairview leaves Minnesota Hospital Association
Friday, March 25, 2016 2:16 PM
Fairview Health Services has dropped out of the Minnesota Hospital Association, amid a cloud of uncertainty.


Ready or not, e-prescribing coming to New York state providers
Friday, March 25, 2016 1:45 PM
Starting Sunday, physicians in the state of New York will be required to e-prescribe both controlled and non-controlled drugs, after being given an extra year to prepare.


More women are alleging prominent ER doctor sexually assaulted them
Friday, March 25, 2016 12:45 PM
A prominent former New York City emergency room doctor already charged with sexually assaulting two women in his care has been indicted on new charges that he sexually assaulted two other women he treated, prosecutors announced Thursday.


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Friday, 25 March 2016

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CMS will test paying more for skilled nursing to curb hospital readmissions
Thursday, March 24, 2016 5:44 PM
Industry stakeholders say the new CMS initiative for skilled-nursing facilities acknowledges the role of post-acute-care facilities in improving quality of care, and the success of the bundled-payment model.


Bill to delay bundled joint replacement payments introduced
Thursday, March 24, 2016 5:00 PM
Lawmakers won't be in regular session again, however, until after the rule is scheduled for implementation.


Centene completes Health Net deal after protracted review
Thursday, March 24, 2016 4:00 PM
It took almost two months longer than expected, but Medicaid insurer Centene Corp. finally closed on its Health Net deal after winning approval from skeptical California regulators.


Southwestern Health Resources prepares for launch, installs management team
Thursday, March 24, 2016 3:57 PM
Southwestern Health Resources, the joint operating company formed by UT Southwestern Medical Center and Texas Health Resources, has installed its senior management team as it prepares to begin operations April 1.


Room for improvement in calculating exchange risk adjustments
Thursday, March 24, 2016 2:02 PM
A report from Avalere Health found that the estimates could improve by taking into account different demographics and prescription drug data.


Gov. Asa Hutchinson tries to save expanded Medicaid in Arkansas
Thursday, March 24, 2016 1:30 PM
When he ran for governor in 2014, Hutchinson echoed the party's attacks on the Affordable Care Act. But two years after winning office, he has executed a surprising turnabout and become the leading rescuer of one of the ACA's most embattled...


TeamHealth yields three board seats to Jana for 'stand-still' pledge
Thursday, March 24, 2016 12:51 PM
TeamHealth, the giant physician-staffing company, has acquiesced to demands by activist investor Jana Partners for three seats on the TeamHealth board of directors. In exchange, Jana agreed to not launch an unfriendly bid for TeamHealth.


CMS delays moving HealthCare.gov appeals and subsidy payment processes online
Thursday, March 24, 2016 12:04 PM
The CMS is pressing pause on two initiatives to automate how it pays tax and subsidy payments to plans on the insurance marketplace and how consumers appeal denials of coverage eligibility.


Projected ACA costs rise by $136 billion due to robust Medicaid enrollment
Thursday, March 24, 2016 11:59 AM
Over the next decade, the Affordable Care Act's insurance provisions will cost the federal government $136 billion more than expected, according to the latest report from the Congressional Budget Office.


UPMC-Jameson Health merger approved
Thursday, March 24, 2016 11:15 AM
The Pennsylvania state attorney general's office has announced a consent decree on the long-delayed merger between UPMC and Jameson Health System in Lawrence County.


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Thursday, 24 March 2016

Modern Healthcare Breaking News

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UPMC-Jameson Health merger approved
11:15:00 AM
The Pennsylvania state attorney general's office has announced a consent decree on the long-delayed merger between UPMC and Jameson Health System in Lawrence County.


Wider HIPAA audits may drive stronger vendor contracts
Wednesday, March 23, 2016 6:42 PM
The feds appear to be preparing to clamp down on the sometimes porous flow of patient data handled by vendors of healthcare organizations, which has exploded with the growth of EHRs, analytics and mobile devices in healthcare.


AHA says new federal labor rule could discourage hospitals from seeking legal counsel
Wednesday, March 23, 2016 6:40 PM
The American Hospital Association says a new Labor Department rule meant to shine a light on clandestine anti-union campaigns will have a chilling effect on hospitals' ability to seek expert advice on labor and collective bargaining issues.


Doctors ask CMS to push hospitals for better communication after discharge
Wednesday, March 23, 2016 3:13 PM
The American Academy of Family Physicians is asking the CMS to push hospitals to more freely share patients' medical records. They say the current logjam of information is causing costly readmissions and putting patients at risk.


Medicare diabetes prevention program could inspire insurers
Wednesday, March 23, 2016 1:06 PM
Participants lost weight and learned about healthy living while Medicare saved enough money per person to pay for the program and then some. HHS hopes the program's success will inspire employers and insurers to develop their own wellness programs.


Supreme Court appears divided on ACA contraception case
Wednesday, March 23, 2016 12:47 PM
The U.S. Supreme Court appeared divided during oral arguments Wednesday in a challenge brought by religious not-for-profits that oppose having to play any part in providing birth control to employees as required under the Affordable Care Act.


Sleep apnea mask maker will pay $34.8 million to settle kickback allegations
Wednesday, March 23, 2016 11:36 AM
A Pennsylvania company that makes sleep apnea masks will pay the government $34.8 million to settle allegations it paid kickbacks to medical equipment suppliers that bought its masks for patients.


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Wednesday, 23 March 2016

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Commentary: ACA helps raise the bar to keep 'bad actors' out of Medicare, Medicaid
1:01:00 AM
There are some healthcare providers who are no longer welcome in Medicare and Medicaid. Patients, caregivers and taxpayers should know that unprecedented actions are being taken to make sure they don't participate in these federal programs.


ACA repeal more difficult as Americans get used to popular provisions
Tuesday, March 22, 2016 4:39 PM
Well-liked measures of the Affordable Care Act, such as allowing young adults to stay on their parents' insurance longer and not allowing companies to discriminate against people with pre-existing conditions, rely on the more controversial...


FDA bolsters warnings on most widely used painkillers
Tuesday, March 22, 2016 4:00 PM
In an effort to combat the current drug abuse epidemic, the FDA will require new, tougher labeling for immediate-release opioid pain medications that will include a boxed safety warning about misuse.


RegionalCare to merge with Capella in $550 million deal
Tuesday, March 22, 2016 1:00 PM
The new company, RCCH Health Partners, will have 18 hospitals, more than 13,000 employees, 2,000 affiliated physicians and $1.7 billion in revenue. Marty Rash, chairman and CEO of RegionalCare, will assume the role of executive board chair for the...


CMS tests waters for enhanced Medicare Advantage audits
Tuesday, March 22, 2016 12:19 PM
The federal government is examining how it can beef up medical record auditing of Medicare Advantage insurers, which have been accused of exaggerating patient diagnoses to pad their payments. New procedures outlined by the feds will lead to heftier...


Pay rule could discourage providers from seeing Native American patients
Tuesday, March 22, 2016 12:12 PM
The rule allows tribal and urban Indian health programs to pay physicians outside of IHS facilities rates similar to Medicare when beneficiaries need care not available at IHS facilities. The goal is to lower spending and stretch the IHS' limited $5...


Catholic Health Initiatives wrestles with Texas expansion
Tuesday, March 22, 2016 12:09 PM
Catholic Health Initiatives, the national system that has aggressively expanded its reach in recent years, ended its second quarter with gains in Nebraska and Kentucky but weaker results in one of its newest markets, Texas.


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