Tuesday, 31 May 2016

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Congressional probe finds systemic failure at Wisconsin VA facility
11:35:37 AM
A U.S. Senate committee probe of health care problems at the Tomah Veterans Affairs Medical Center in western Wisconsin has turned up "systemic failures" in an inspector general's review of the facility.


Detroit mental health authority wins temporary restraining order over Gateway Health
11:31:04 AM
The Detroit Wayne Mental Health Authority last week was granted a temporary restraining order against Gateway Community Health by the Third Judicial Circuit Court in Detroit that protects against improper expenditures of state Medicaid funds and...


Mount Sinai's downsizing leaves valuable Manhattan real estate on the table
11:24:44 AM
Three years ago, Mount Sinai merged with Continuum Health Partners, giving the hospital a huge and valuable real estate portfolio in lower Manhattan. But it's unclear what Mount Sinai will do with all of its properties now that it's downsizing Beth...


Self-funded health plans can save money, up risks
11:18:38 AM
Business consulting company Spooner Inc. found itself facing the same challenge its clients and many other employers across the country are grappling with: rapidly rising health plan costs.


Judge orders Washington Medicaid to provide hepatitis C drug
Monday, May 30, 2016 3:47 PM
A federal judge has ordered Washington's Medicaid program to provide an expensive drug to all hepatitis C patients, not just the sickest ones.


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Saturday, 28 May 2016

Modern Healthcare Breaking News

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CMS offers no-risk risk contracts in primary-care initiative
Friday, May 27, 2016 5:15 PM
Insurers wonder if CMS' latest effort to drum up interest in the Comprehensive Primary Care Plus Initiative will overcome obstacles to participation in states that have laws prohibiting physician practices from taking on risk-based contracts.


Ousted Harris CEO joins Parkland Health
Friday, May 27, 2016 1:15 PM
David Lopez, the former CEO of Harris Health System in Houston, has joined Dallas' Parkland Health & Hospital System as COO. Lopez joins the public health system after pursuing its CEO position in 2014.


Mayo Clinic gets $142 million NIH grant for precision medicine
Friday, May 27, 2016 1:04 PM
The Rochester, Minn.-based system will establish the biobank for President Barack Obama's Precision Medicine Initiative Cohort Program, which aims to collect at least 1 million volunteers' biological samples to promote individually tailored disease...


Epic Systems loses appeal in overtime pay dispute
Friday, May 27, 2016 1:01 PM
A federal appeals court in Chicago ruled that electronic health record vendor Epic Systems violated its employees' rights by trying to require them to seek arbitration in state and federal wage-and-hour law claims and other disputes.


Feds will appeal loss in Medicare fraud case over hospice eligibility
Friday, May 27, 2016 12:20 PM
The federal government has decided to appeal a ruling in an unusual fraud case involving hospice care provider AseraCare, in which a judge ruled that disagreements between doctors over patients' eligibility for hospice care do not prove fraud.


CMS reaffirms insurers can't impose waiting periods for benefits
Friday, May 27, 2016 12:18 PM
Health insurers that sell plans with mandated benefits under the Affordable Care Act cannot require people to wait a certain amount of time before they can use those benefits, the CMS reiterated this week in a memo.


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Friday, 27 May 2016

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New superbug detected in U.S. threatens 'end of the road for antibiotics'
Thursday, May 26, 2016 6:25 PM
Researchers have identified the first U.S. case of a pathogen that's resistant to the antibiotic considered to be the last line of defense against so-called superbugs, raising fears that a "post-antibiotic" era will arrive sooner than...


CDC director has had to borrow to fund Zika battle
Thursday, May 26, 2016 5:00 PM
Director Tom Frieden said Congress needs to approve enough funding to fight the disease that could infect as many as 2 million pregnant women in the U.S this year. The CDC has had to borrow $50 million from other parts of the agency to begin...


Appeals court affirms 45-year term for Michigan cancer doctor
Thursday, May 26, 2016 1:02 PM
An appeals court has affirmed the 45-year prison sentence for an Oakland County, Mich., cancer doctor who put hundreds of patients through needless treatments.


University of Michigan system joins Together Health as network provider
Thursday, May 26, 2016 12:54 PM
The University of Michigan Health System has joined Together Health Network as a referral provider for complex, or quaternary, healthcare services. Formed in 2014, Together Health is a clinically integrated network that includes more than 25...


Mount Sinai CEO says 'no layoffs' in the rebirth of Beth Israel
Thursday, May 26, 2016 12:48 PM
Since 2000, 19 New York City hospitals have closed. Mount Sinai's CEO Dr. Kenneth Davis doesn't want to be responsible for the loss of No. 20. Mount Sinai will restructure Mount Sinai Beth Israel and invest at least $550 million to increase the...


Healthcare payment auditing company goes public
Thursday, May 26, 2016 12:28 PM
Cotiviti Holdings, an auditing company that works with health insurers and governments to ensure payments to hospitals and doctors are accurate, started trading Thursday on Wall Street but did not generate a warm response.


Shareholders vote down dark money disclosure at Aetna, Anthem
Thursday, May 26, 2016 12:25 PM
Health insurers Aetna and Anthem won't have to tell shareholders how much money they send to tax-exempt political organizations, at least for another year.


State Medicaid agencies limiting opioid prescriptions
Thursday, May 26, 2016 12:17 PM
State Medicaid agencies around the country are limiting how many opioids providers can prescribe in an effort to curb the disproportionate number of beneficiaries who are at risk of overdose and death.


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Thursday, 26 May 2016

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Health tech policy guru Dr. Paul Tang joins IBM Watson Health
Wednesday, May 25, 2016 5:22 PM
Veteran physician informaticist and health IT policy guru Dr. Paul Tang is going to work with Watson. The former chief technology and innovation officer at Medical Foundation/Sutter Health in Palo Alto, Calif., is now vice president and chief health...


Closing arguments in Advocate, NorthShore antitrust case focus on FTC's recent Pennsylvania loss
Wednesday, May 25, 2016 4:02 PM
Attorneys for two Chicago-area hospital systems argued Wednesday that a recent decision in a similar antitrust case in Pennsylvania supports the systems' case for being allowed to merge.


Only 39% of U.S. hospitals follow best practices to curb antibiotic overuse
Wednesday, May 25, 2016 3:58 PM
A little more than one-third of acute care hospitals in the U.S. adhere to best practices to promote appropriate use of antibiotics, according to an analysis of more than 4,100 U.S. acute-care hospitals


Hospital engagement networks end; new initiative takes over
Wednesday, May 25, 2016 1:27 PM
The CMS is replacing and expanding the efforts of a program meant to curb adverse events in hospitals and readmissions. The agency announced Wednesday that it is looking for providers interested in joining hospital improvement and innovation...


Ascension Wisconsin restructures following major acquisitions
Wednesday, May 25, 2016 12:43 PM
Ascension Wisconsin, a subsidiary of the nation's largest not-for-profit hospital system, will reorganize after taking over three major healthcare systems in the state.


Trinity Health hospital to pay $107 million to settle pension lawsuit
Wednesday, May 25, 2016 12:11 PM
Trinity Health has agreed to settle for $107 million in what's become a growing list of cases over whether faith-based health systems have to follow federal rules meant to protect employee pensions.


Sanofi wants to dump Medivation's board after rejected deal
Wednesday, May 25, 2016 11:36 AM
French drug company Sanofi is trying to toss the entire board at Medivation after the U.S. drugmaker rejected its $9.3 billion takeover bid.


Missouri throws first big wrench into Aetna-Humana deal
Wednesday, May 25, 2016 11:35 AM
Missouri insurance officials have issued a preliminary order against the merger of Aetna and Humana, making it the first state to find serious antitrust problems with the massive transaction.


HCA builds out delivery networks with $2.7 billion capital budget
Wednesday, May 25, 2016 11:32 AM
CEO Milton Johnson told investors Tuesday that HCA would continue to focus on facility expansion and smaller, complementary acquisitions rather than "needle-moving" hospital deals.


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Wednesday, 25 May 2016

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Sanofi wants to dump Medivation's board after rejected deal
11:36:05 AM
French drug company Sanofi is trying to toss the entire board at Medivation after the U.S. drugmaker rejected its $9.3 billion takeover bid.


VA will expand scope of nurse practice
Tuesday, May 24, 2016 6:25 PM
The proposed rule, which the Office of Management and Budget sent back to the VA last month, is expected to allow nurses to fill in for anesthesiologists during surgery.


Feds jump into whistle-blower lawsuit against Prime
Tuesday, May 24, 2016 5:29 PM
The Justice Department has joined a whistle-blower's lawsuit against Prime Healthcare alleging the hospital chain fraudulently billed Medicare for beneficiaries admitted as inpatients when they should have been treated as outpatients.


House bill trims pay for all hospitals to fund leeway in site-neutral Medicare pay
Tuesday, May 24, 2016 5:00 PM
The House Ways and Means Committee unanimously backed legislation that would pare back a Medicare hospital pay increase scheduled for 2018 to pay for allowing under-construction hospital outpatient clinics to receive inpatient rates.


Washington, California sue over pelvic mesh implants
Tuesday, May 24, 2016 4:43 PM
Washington state and California are suing Johnson & Johnson, saying for more than a decade the company misrepresented the risks of vaginal mesh implants it sold.


CMS lambasted for failing to curb Medicaid, Medicare fraud and abuse
Tuesday, May 24, 2016 2:28 PM
Lawmakers grilled a CMS administrator Tuesday as government watchdog groups released more damning reports on the federal agency's efforts at eliminating waste, fraud and abuse in Medicare and Medicaid.


Montana projects healthcare labor shortage in 10 years
Tuesday, May 24, 2016 12:21 PM
Healthcare is the largest private sector of Montana's economy, at 14.3%, with 74,000 workers. But with the baby boomer population facing retirement, Montana officials fear the demand for healthcare services will exceed the available workforce.


IHS hospital in South Dakota threatened with funds cutoff
Tuesday, May 24, 2016 11:43 AM
The CMS threatened Monday to cut off Medicare and Medicaid funding to an Indian Health Service hospital in Rapid City -- the third South Dakota hospital serving Native Americans that's been found to have serious deficiencies in recent months.


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Tuesday, 24 May 2016

Modern Healthcare Breaking News

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South Dakota Indian hospital threatened with funds cutoff
11:43:43 AM
The CMS Monday threatened to cut off Medicare and Medicaid funding to a government-run hospital in Rapid City -- the third South Dakota hospital serving Native Americans that's been found to have serious deficiencies in recent months.


Florida doctor sentenced to 25 years in 3 pill mill deaths
11:26:02 AM
A federal judge in Tampa has sentenced a 76-year-old doctor to 25 years in prison for the deaths of three patients who were prescribed pain medications at his clinic.


29 hospitals appeal decision over Medicare outlier payments
Monday, May 23, 2016 6:13 PM
Twenty-nine hospitals are appealing a judge's ruling last year over outlier payments to hospitals for particularly expensive patients.


MUSC Health signs inpatient equipment contract with Royal Philips
Monday, May 23, 2016 3:38 PM
The Medical University of South Carolina has signed a $36 millioin contract for monitoring equipment for inpatient care with Netherlands-based Royal Philips.


Unknown substance causes evacuation of Florida Planned Parenthood center
Monday, May 23, 2016 1:16 PM
Seven employees at a Planned Parenthood center were sent to the hospital Monday morning because of an unknown substance. No patients were on site and 38 people were evacuated.


Verity Health System sheds light on first 100 days of turnaround effort
Monday, May 23, 2016 11:44 AM
The new managers of Verity Health System have their work cut out for them as they seek to revitalize the six safety-net hospitals formerly known as the Daughters of Charity Health System.


Former Warner Chilcott president's trial may signal further executive crackdown
Monday, May 23, 2016 11:36 AM
The trial of a former Warner Chilcott president may be among the first of more to come for healthcare executives as the Justice Department increasingly holds individuals accountable for corporate wrongdoing.


Data breach affects 12,000 patients in New Mexico substance-abuse program
Monday, May 23, 2016 11:34 AM
A federally supported drug and alcohol abuse program in New Mexico has been hacked, possibly exposing patients' names, addresses, health assessments, medications and other treatment methods, San Juan County has announced.


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Monday, 23 May 2016

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Germany's Bayer makes $62 billion offer for Monsanto
11:30:00 AM
German drug and chemicals company Bayer announced Monday that it has made a $62 billion offer to buy U.S.-based crops and seeds specialist Monsanto.


Behind-the-scenes squabbles between Anthem, Cigna
Sunday, May 22, 2016 1:00 PM
Squabbles have apparently flared up behind the scenes in the proposed $53 billion merger of health insurance giants Anthem and Cigna Corp.


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Sunday, 22 May 2016

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Oklahoma governor vetoes bill criminalizing abortion
Saturday, May 21, 2016 12:00 PM
Oklahoma Gov. Mary Fallin vetoed legislation that would have effectively outlawed abortion in the state by making it a felony for doctors to perform the procedure, saying the measure vague and would not withstand a legal challenge.


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Saturday, 21 May 2016

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Medicare Advantage insurer Clover Health raises $160 million in new funding
Friday, May 20, 2016 6:44 PM
Venture capitalists have opened up the funding spigot into a budding health insurance startup, Clover Health, that only enrolls seniors -- reflecting a bet that new-age insurers will disrupt the Medicare program.


Providence walks away from Alaska deal
Friday, May 20, 2016 3:30 PM
Providence Health & Services, the Renton, Wash.-based system that has been expanding rapidly on the West Coast, has decided not to pursue a deal that would have added more facilities in Alaska.


FDA again delays generic labeling rule
Friday, May 20, 2016 2:53 PM
For the third time, the FDA has delayed a rule requiring generic-drug companies to update product labels if they receive new safety information.


Athenahealth CFO resigns
Friday, May 20, 2016 1:00 PM
Kristi Matus, chief financial officer of Athenahealth, will be leaving her post at the end of the month to pursue other opportunities.


Number of U.S. pregnant women with Zika triples on new counting method
Friday, May 20, 2016 11:26 AM
Previously, officials had reported how many pregnant women had both Zika symptoms and positive blood tests. In a change announced Friday, the Centers for Disease Control and Prevention will count all women who tested positive -- regardless of...


Bill would exempt many cancer hospitals from site-neutral payment
Friday, May 20, 2016 11:16 AM
A bill introduced this week would allow cancer hospitals currently exempt from the Prospective Payment System to see no change in reimbursement despite a provision for site-neutral payments that was included in a budget agreement last year.


Senators ask CMS to be flexible on site-neutral payment regs
Friday, May 20, 2016 11:13 AM
A bipartisan group of senators has sent a letter to the CMS requesting the agency exempt outpatient departments that are expanding or relocating as well as all services at dedicated emergency departments.


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