Saturday, 30 July 2016

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University of Minnesota Physicians begins new strategic plans after acquisition fails
Friday, July 29, 2016 4:50 PM
University of Minnesota Physicians has begun steps to re-evaluate its strategic vision shortly after plans to acquire Fairview Health Services were terminated.


Lack of Zika funding could delay vaccine
Friday, July 29, 2016 1:42 PM
The head of the National Institute of Allergy and Infectious Diseases said Friday that preparations for the second phase of vaccine testing may be impossible without more money, which will be difficult to obtain with Congress on a weeks-long break.


FTC finds defunct LabMD's data security practices violated law
Friday, July 29, 2016 12:55 PM
The Federal Trade Commission ruled Friday that a clinical laboratory's lax data security practices violated federal law - a decision that some say could mean tougher enforcement for healthcare providers.


Judge tosses nearly 1,300 lawsuits over Bayer birth control device
Friday, July 29, 2016 12:53 PM
A federal judge in New York threw out nearly 1,300 lawsuits against Bayer over its Mirena intrauterine contraceptive device. The judge excluded expert testimony, feeling it would have been biased.


AMA partners with Intermountain, Omada Health to prevent Type 2 diabetes
Friday, July 29, 2016 12:02 PM
The American Medical Association has partnered with Intermountain Healthcare and a health information technology firm in an effort to use digital health services to prevent Type 2 diabetes.


Physician turmoil at LifePoint hospital causes earnings, stock price to tumble
Friday, July 29, 2016 12:00 PM
LifePoint Health reported a net income drop in the second quarter of almost 60% to $20.1 million. The hospital chain's CEO said the lion's share of the earnings miss was caused by the abrupt departure of several physicians at an undisclosed hospital.


Florida Zika cases may put added strain on safety net providers
Friday, July 29, 2016 11:57 AM
If transmission within the U.S. spreads, providers serving populations that have been identified as being the most vulnerable say they might not be ready as they face reductions in disproportionate-share payments.


Using virtual reality to treat PTSD
Friday, July 29, 2016 11:42 AM
Virtual reality, a Chicago doctor explains, exposes veterans to the sights, sounds, sensations and even scents of the events responsible for their trauma: a shooting, an attack, an IED explosion. Exposure to the trauma in a safe, controlled setting...


Merck puts up strong Q2 numbers, but choppy waters ahead
Friday, July 29, 2016 11:35 AM
Merck & Co. lowered its financial forecasts for 2016, citing higher restructuring and other costs, despite a big jump in second-quarter profit.


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Friday, 29 July 2016

Modern Healthcare Breaking News

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Using virtual reality to treat PTSD
11:42:21 AM
Virtual reality, a Chicago doctor explains, exposes veterans to the sights, sounds, sensations and even scents of the events responsible for their trauma: a shooting, an attack, an IED explosion. Exposure to the trauma in a safe, controlled setting...


Merck puts up strong 2Q numbers, but choppy water ahead
11:35:27 AM
Merck & Co. lowered its financial forecasts for 2016, citing higher restructuring and other costs, despite a big jump in second-quarter profit.


Little noticed law gives pharmaceutical companies more options when facing license suspension
Thursday, July 28, 2016 5:13 PM
Supporters say the Ensuring Patient Access and Effective Drug Enforcement Act is meant to keep legitimate pain patients from being denied prescription drugs, but it comes as Congress is also implementing legislation to curb the opioid epidemic.


South Carolina hospital to pay $17 million over physician pay allegations
Thursday, July 28, 2016 2:16 PM
South Carolina's Lexington Medical Center will pay the government $17 million over allegations that it paid 28 physicians unreasonably high amounts in exchange for referrals.


EHR rollouts have little impact on patient outcomes, study finds
Thursday, July 28, 2016 1:12 PM
Implementing new or different EHR systems had negligible short-term effects on readmission or mortality rates across a 17-hospital sample, according to a study published in the BMJ. The new or different information technology also had no...


Mylan to divest two generic drugs in FTC merger case
Thursday, July 28, 2016 12:12 PM
Generic-drug maker Mylan has received regulatory approval from the Federal Trade Commission to acquire pharmaceutical giant Meda in a $7.2 billion deal after it agreed to divest two generic drugs.


Athenahealth launches Merit-based Incentive Payment System Guarantee
Thursday, July 28, 2016 12:06 PM
Athenahealth's Merit-based Incentive Payment System Guarantee will give providers data support needed to collect data and handle reporting required under MIPS.


Patient volumes drive HCA's $650 million investment in hot Miami market
Thursday, July 28, 2016 12:03 PM
A $650 million investment that HCA is making at its east Florida hospitals illustrates how HCA is trying to stay ahead of a patient shift to outpatient services with hospitals being reserved for high-acuity care, HCA executives said during an...


Psych facilities get $100 million Medicare raise next year
Thursday, July 28, 2016 11:46 AM
Starting next year, inpatient psychiatric facilities will see a 2.2% increase or $100 million raise in Medicare reimbursement -- more than the 1.5% or $80 million bump they received this year.


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Thursday, 28 July 2016

Modern Healthcare Breaking News

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Molina Healthcare rebounds from tough start to 2016
8:45:00 AM
Molina Healthcare beat profit expectations in the second quarter following a brutal start to the year, but the Medicaid managed-care insurer still reported lower overall net income.


In answer to DOJ lawsuit, Anthem argues Cigna deal would boost ACA exchanges
Wednesday, July 27, 2016 6:18 PM
Anthem threw punches back at the U.S. Justice Department's attempt to block the insurer's acquisition of Cigna Corp. The response signals Anthem will indeed litigate the case to the end even though many analysts and policy experts say the company is...


Fed stands pat while Universal Health leads hospital stocks lower
Wednesday, July 27, 2016 5:31 PM
Hospitals and health systems were assured another month of super-low borrowing rates as the Federal Reserve Wednesday again punted on raising interest rates. Hospital stocks fell led lower by Universal Health Services, which missed analyst...


McKesson defeats proposals to disclose dark money, limit exec parachutes
Wednesday, July 27, 2016 1:55 PM
Shareholders at McKesson's annual meeting sided with the board and management in rejecting proposals to require greater disclosure of political contributions and limit golden parachutes for senior executives in a change of ownership.


LabCorp acquires prenatal lab as earnings rise
Wednesday, July 27, 2016 12:34 PM
Laboratory Corporation of America announced a $371 million acquisition on Wednesday while reporting rising second-quarter profits.


Insurer consultant Invoyent picked up by West Monroe Partners
Wednesday, July 27, 2016 12:09 PM
Consulting firm West Monroe Partners is acquiring Invoyent, a small Chicago company that provides software and consulting services to health insurers.


Huron Consulting moves to acquire IT consultant HSM
Wednesday, July 27, 2016 11:49 AM
Huron Consulting Group is continuing a shopping spree by announcing its intent to acquire a healthcare IT consultant whose clients include Allscripts, Athenahealth, Cerner and Epic. The deal for Healthcare Services Management, or HSM, would be...


Texas attorney general took gift while investigating medical imaging company
Wednesday, July 27, 2016 11:32 AM
Texas Attorney General Ken Paxton, who is under indictment on felony charges of duping investors in a tech startup, accepted $100,000 for his criminal defense from the head of a medical imaging provider while his office investigated the company for...


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Wednesday, 27 July 2016

Modern Healthcare Breaking News

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Increased medical expenses drag down Anthem's Q2 profit
8:45:00 AM
Less than a week after finding out the U.S. Justice Department would seek to block its acquisition of Cigna Corp., Anthem said Wednesday that its second-quarter profit fell more than 9% year over year and it lowered its earnings projections for the...


Federal task force finds little evidence to recommend skin cancer body screenings
Tuesday, July 26, 2016 2:38 PM
Latest guidelines released Tuesday by the U.S. Preventive Services Task Force have upheld its 2009 recommendations that found there was not enough evidence to assess the benefits or harms in conducting visual examinations to screen for skin cancer...


Sanders endorses Clinton's health policies while some of his supporters resist
Tuesday, July 26, 2016 1:55 PM
Sen. Bernie Sanders embraced Hillary Clinton's less-than-universal healthcare proposal at the Democratic National Convention in Philadelphia Monday night. But some of his supporters haven't made that compromise.


HHS to fund cybersecurity information exchange
Tuesday, July 26, 2016 12:20 PM
HHS will fund an organization for cybersecurity professionals to exchange information about threats to the healthcare industry's IT systems. The goal is to allow providers, public health agencies and HHS to share information "about...


UnitedHealthcare buys Rocky Mountain Health Plans
Tuesday, July 26, 2016 12:17 PM
UnitedHealthcare has acquired Rocky Mountain Health Plans, a not-for-profit insurance provider based in Grand Junction, Colo.


Hospitals will pivot to post-acute care to thrive under cardiac bundles
Tuesday, July 26, 2016 12:04 PM
Medicare's accelerating move to bundled payments for episodes of care will drive hospitals and physicians to pay more attention to what happens to patients after they leave.


Price transparency eludes consumers in 43 states
Tuesday, July 26, 2016 12:01 PM
Just seven states achieved a passing grade for making usable healthcare price information available to consumers, according to the 2016 Report Card on State Price Transparency Laws.


Struggling with Health Net, Centene will drop many Arizona ACA plans
Tuesday, July 26, 2016 11:54 AM
Massive losses surrounding Health Net's individual exchange plans overshadowed the second quarter at Centene Corp., which almost doubled profit and revenue. As a result, Centene will exit a "considerable amount" of exchange business in...


HCA names Heather Rohan president of TriStar Division
Tuesday, July 26, 2016 11:52 AM
Heather Rohan has been promoted to president of HCA's TriStar Division, which includes 16 hospitals in Georgia, Kentucky and Tennessee. She will begin her new role Dec. 1.


Express Scripts grows profit despite processing fewer drug claims
Tuesday, July 26, 2016 11:51 AM
Express Scripts Holding Co. grew its second-quarter profit by 21% even though the pharmacy benefit management company filled fewer prescription drug claims for its customers.


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Tuesday, 26 July 2016

Modern Healthcare Breaking News

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What to know about Medicare's big bundled-payment expansion
Monday, July 25, 2016 3:01 PM
A new mandatory program would make hospitals in 98 markets financially accountable for the cost and quality of all care associated with bypass surgery and heart attacks. It would also add new procedures to the hip and knee pilot launched this year.


Health First dodges False Claims Act case in Florida
Monday, July 25, 2016 12:15 PM
A federal judge has dismissed a whistle-blower suit against Health First that alleged the healthcare provider illegally referred Medicare patients to other affiliated providers over 15 years.


Starbucks embraces private insurance exchange, but uptake still lags predictions
Monday, July 25, 2016 12:11 PM
Coffee chain Starbucks Corp. is moving thousands of employees to an online health insurance marketplace. Yet these types of private exchanges still have not taken off despite lofty industry predictions.


Success of Pence's Medicaid expansion far from settled
Monday, July 25, 2016 12:09 PM
The success of the conservative approach to Medicaid devised by Indiana Gov. Mike Pence -- Donald Trump's pick for vice president -- is a mixed bag so far, according to a report that offers fodder for both sides of the political spectrum.


Partners HealthCare loses 400 physicians to Tufts
Monday, July 25, 2016 12:07 PM
Nearly 400 physicians at Hallmark Health System in Medford, Mass., have voted to join the physician network of Tufts Medical Center in Boston, leaving Partners HealthCare's physician organization after acquisition plans fell through.


Faith-based health systems ask Supreme Court to take cases over pension plans
Monday, July 25, 2016 12:04 PM
Two faith-based health systems want the U.S. Supreme Court to weigh in on whether their pension plans should be exempt from certain federal protections for workers -- an issue that has spurred dozens of lawsuits across the country in recent...


Lower Harvoni sales dampen Gilead's second-quarter profit
Monday, July 25, 2016 12:01 PM
Drugmaker Gilead Sciences saw its earnings fall again amid lower sales of its expensive blockbuster hepatitis C drug Harvoni.


Changes to controversial Open Payments policy in the works
Monday, July 25, 2016 11:30 AM
The CMS is considering making tweaks to its controversial Open Payments policy to ensure accuracy of payment data posted by providers.


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Monday, 25 July 2016

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Obama signs compromise drug-abuse bill into law
Sunday, July 24, 2016 11:43 AM
President Barack Obama on Friday signed into law a bill to curb abuse of heroin and opioid drugs, even as he expressed bitter disappointment with Republicans for not providing more money for addiction treatment.


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Saturday, 23 July 2016

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Clinton's VP pick Kaine is a strong backer of improving and expanding the ACA
Friday, July 22, 2016 5:08 PM
Virginia Sen. Tim Kaine, named Friday by presumptive Democratic presidential nominee Hillary Clinton as her vice presidential running mate, is a strong ally of Clinton's in her push for improving the Affordable Care Act and expanding Medicaid to...


Doctors back bill to exempt CME from Open Payments reporting
Friday, July 22, 2016 4:46 PM
Roughly 100 national and state medical societies are backing a bill that would exempt drug and device makers from have to report payments made to doctors for participating in continuing medical education or receiving textbooks, journals and...


Border hospitals advised of rights and risks of body-cavity searches
Friday, July 22, 2016 2:43 PM
The American Civil Liberties Union is advising hospitals in border states of their rights when confronted by federal agents requesting they perform body-cavity searches -- and the hospitals' potential liability if they comply.


Provider groups want $346 million from Health First in antitrust case
Friday, July 22, 2016 12:45 PM
More than a dozen Florida doctors and provider groups will seek nearly $350 million from integrated system Health First for allegedly violating antitrust law in a trial scheduled to begin next month.


$1 billion Medicare fraud conspiracy alleged in Miami
Friday, July 22, 2016 11:53 AM
The owner of more than 30 skilled-nursing and assisted-living facilities in the Miami area and two co-conspirators have been charged for their involvement in a $1 billion Medicare fraud and money laundering scheme.


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Friday, 22 July 2016

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Tricare drops UnitedHealthcare from new contracts worth $58 billion
1:18:06 AM
The U.S. Department of Defense has awarded multiyear contracts worth $58 billion to Humana and Centene Corp. to manage Tricare, surprisingly booting incumbent health insurer UnitedHealthcare in the process.


Judge sides with Missouri lawmaker challenging ACA's contraception mandate
Thursday, July 21, 2016 6:17 PM
The Obama administration cannot force a Missouri lawmaker and his family to carry health insurance that includes contraception coverage despite the Affordable Care Act's requirement that insurers cover birth control, a federal judge ruled Thursday.


Humana dumps ACA plans as feds blast its Aetna deal
Thursday, July 21, 2016 5:31 PM
Just as the U.S. Justice Department formally moved to block the merger between Humana and Aetna, Humana said it is significantly reducing its individual health plans sold on and off the Affordable Care Act's exchanges.


CMS previews how hospitals will fare on new star ratings
Thursday, July 21, 2016 1:24 PM
The agency released the data ahead of publishing actual ratings for individual hospitals. The data show that hospitals of all kinds -- teaching or safety net, for instance -- vary in quality as judged by the ratings, which are based on 62...


About 29% of rehab hospital patients on Medicare harmed during stays, OIG says
Thursday, July 21, 2016 1:23 PM
Nearly one out of three Medicare beneficiaries discharged from rehabilitation hospitals in March 2012 were medically harmed during stays at the facilities, according to a report from HHS' Office of Inspector General.


Medicare panel votes against coverage for leg vein treatments
Thursday, July 21, 2016 1:19 PM
A panel that advises the CMS on Medicare coverage decisions says it has little to no confidence there is adequate data that current treatments for patients with diseased leg veins improve health outcomes.


Medicare will test population-health approach to stroke and heart disease risk
Thursday, July 21, 2016 12:42 PM
The CMS has selected 516 physician practices to participate in a payment initiative intended to change the way providers manage heart disease.


Royal Philips to buy population-health provider Wellcentive
Thursday, July 21, 2016 12:00 PM
Royal Philips has signed an agreement to acquire Wellcentive, a population health management company based in Atlanta. Financial terms of the deal were not disclosed.


Why the Justice Department rejected the Aetna and Anthem deals
Thursday, July 21, 2016 11:09 AM
The government argues both transactions would "substantially lessen competition in numerous markets around the country." The result, antitrust regulators said, would lead to "higher prices and reduced benefits" for consumers.


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Thursday, 21 July 2016

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BREAKING: Feds sue to block health insurance mega-mergers
11:09:34 AM
After more than a year of scrutiny, the U.S. Justice Department filed requests for preliminary injunctions Thursday to block the two health insurance deals led by Aetna and Anthem that would shrink the number of national carriers from five to three...


Jury acquits medical-device company execs of felony fraud charges
Wednesday, July 20, 2016 5:46 PM
A federal jury on Wednesday acquitted two former medical-device company executives on more than a dozen felony counts of fraud related to off-label marketing but convicted them of 10 misdemeanor counts on the same issue.


CMS says $42 billion saved with fraud prevention, provider screening efforts
Wednesday, July 20, 2016 3:21 PM
A report released Wednesday showed that for every dollar spent on program integrity efforts, about $12.40 was saved.


Insurer must cover pharmaceutical distributor's defense costs in W.Va. liability suit
Wednesday, July 20, 2016 3:15 PM
An insurance company will have to cover a pharmaceutical distributor's defense costs in a West Virginia lawsuit attempting to hold it and others liable for the state's prescription drug abuse epidemic, a federal appeals court has ruled.


CDC, Florida probing possible Zika case from Miami mosquito
Wednesday, July 20, 2016 2:46 PM
Health officials in Florida were investigating Wednesday what could be the first Zika infection from a mosquito bite in the continental U.S.


Feds settle data breach case with Oregon Health & Science University for $2.7 million
Wednesday, July 20, 2016 1:30 PM
Oregon Health & Science University has agreed to pay $2.7 million and work through a three-year corrective action plan after a federal investigation found "widespread and diverse problems" with its data protection.


Hemorrhoid fixer uses acquisitions to carve out niche in clinical subspecialty
Wednesday, July 20, 2016 11:31 AM
CRH Medical Corp., maker of the nonsurgical O'Regan System for removing hemorrhoids, now owns nine gastroenterology anesthesia practices, including three acquired in June.


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