Wednesday, 31 August 2016

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Hospital, hepatitis C outbreak victims reach settlement
1:01:00 AM
Trinity Health and its hospital in Minot, N.D., have agreed in principal on a legal settlement with 21 victims of the largest hepatitis C outbreak in recent U.S. history, though Trinity's legal fight with a nursing home where most people were...


Novartis wins OK for biosimilar version of Amgen's Enbrel
1:01:00 AM
U.S. regulators on Tuesday approved the first lower-cost version of Enbrel, a blockbuster anti-inflammatory drug from Amgen that is among the top-selling drugs in the world.


Feds to distribute $53 million to states to fight opioids
1:01:00 AM
The Obama administration says it will distribute $53 million to 44 states in an effort to curb opioid abuse.


Former home health operator gets 20-year sentence for Medicare fraud
Tuesday, August 30, 2016 4:54 PM
The former operator of three Miami-area home health agencies was sentenced to 20 years in prison for his involvement in a $57 million Medicare fraud scheme.


Centene, UPMC, AmeriHealth score Pennsylvania contracts worth $7 billion
Tuesday, August 30, 2016 1:43 PM
The Pennsylvania Department of Human Services awarded a massive Medicaid bid Tuesday to AmeriHealth Caritas, Centene Corp. and UPMC after delaying the decision for several months.


Naloxone price hike hinders Baltimore's drug overdose prevention efforts
Tuesday, August 30, 2016 1:40 PM
While the cost of EpiPens has taken the spotlight the past few weeks, another potentially life-saving drug is seeing similar spikes that are making it difficult for public health officials to expand its use to curb drug overdoses.


Dean of Icahn School of Medicine shot by fired professor
Tuesday, August 30, 2016 11:37 AM
A former professor at the Icahn School of Medicine at Mount Sinai in New York allegedly shot the dean of the institution and one other man Monday outside a deli in Chappaqua, N.Y.


CMS offers solutions as improper Medicaid payments skyrocket
Tuesday, August 30, 2016 11:35 AM
Improper Medicaid payments hit $30 billion last year, according to the CMS. Now, the agency wants to educate states on how they can address the issue.


Changes to ACA exchanges may be enough to keep them afloat for now
Tuesday, August 30, 2016 11:27 AM
The CMS is proposing changes to the risk-adjustment program and other variations to keep more insurers from pulling out of the exchanges and to encourage more consumer participation.


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Tuesday, 30 August 2016

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Influential healthcare leaders set principles for patient-centered care
1:01:00 AM
The Health Care Transformation Task Force includes more than 40 executives from health systems, insurance companies, advocacy groups and consulting firms who have developed principles to help providers put patients first.


CMS moves to shore up ACA insurance markets
Monday, August 29, 2016 6:15 PM
The CMS proposed rules Monday afternoon that would make several changes to the Affordable Care Act marketplaces and refine the law's risk adjustment, heeding calls from the health insurance industry.


Clinton lays out mental health reform plan, but funding still a question
Monday, August 29, 2016 4:57 PM
The Democratic candidate for president calls for more investment in early identification of mental illness as well as robust prevention efforts.


Taking aim at racial disparities in health, hospitals put a shared decisionmaking tool to the test
Monday, August 29, 2016 3:39 PM
A clinical trial will test how laying out the calculus of various treatment options affects the healthcare decisions of minority patients with knee pain.


Private-equity firm buys majority stake in Matrix risk-coding firm
Monday, August 29, 2016 1:16 PM
Matrix Medical Network, a company used by insurers to assess the health of members, has a new majority owner after private-equity firm Frazier Healthcare Partners agreed to shell out $418 million Monday.


Alere sues Abbott Laboratories to complete $5.8 billion merger
Monday, August 29, 2016 11:52 AM
Abbott waffled on its commitment to purchase Alere in April because of concerns about the accuracy of Alere's statements and representations in the agreement. The North Chicago, Ill., company this month warned that it may not go through with the...


Ex-Sacred Heart exec sentenced to one year for bribery scheme
Monday, August 29, 2016 11:50 AM
The former chief operating officer of a now-closed Chicago hospital will serve one year in prison for his involvement in a kickback scheme that bribed doctors to refer Medicare and Medicaid patients to the hospital.


Emory Healthcare throws weight behind Stratus hospital affiliates
Monday, August 29, 2016 11:46 AM
Atlanta-based Emory Healthcare will partner with Stratus Healthcare, an affiliation of 21 hospitals around Georgia, to develop a clinically integrated network and strengthen access to specialty care.


Pediatricians offer guidelines for addressing parents hesitant to vaccinate
Monday, August 29, 2016 11:41 AM
A study published Monday found that 87% of pediatricians in 2013 encountered a parent who declined a vaccine for their child. Guidelines from the American Academy of Pediatrics say a physician may dismiss a patient from their practice after all...


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Monday, 29 August 2016

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Mylan launching cheaper, generic version of EpiPen
11:25:26 AM
Mylan will start selling a cheaper version of its EpiPen after absorbing waves of criticism over a list price for the emergency allergy treatment that has grown to $608 for a two-pack, making it unaffordable for many patients without insurance or...


Clinton could face mounting problem with health overhaul
9:00:00 AM
With the hourglass running out for his administration, President Barack Obama's healthcare law is struggling in many parts of the country. Double-digit premium increases and exits by big-name insurers have caused some to wonder whether "Obamacare"...


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Saturday, 27 August 2016

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Judge refuses to suspend California's assisted death law
10:48:51 AM
A California judge on Friday rejected a request by physicians to immediately suspend a new state law allowing terminally ill people to end their lives.


Allina Health nurses vote to strike after negotiations again fail
Friday, August 26, 2016 5:03 PM
About 4,800 Allina Health nurses will strike after again failing to reach a contract negotiation with the system.


UPMC's health plan swells in aftermath of Highmark spat
Friday, August 26, 2016 4:56 PM
Membership in UPMC's health insurance division grew 8% in the past year, according to financial documents released Friday, giving UPMC a bigger foothold as it tries to operate peacefully with its rival Highmark Health.


Doctors may skip new CMS primary-care payment initiative
Friday, August 26, 2016 4:30 PM
Despite a looming deadline, the CMS has failed to provide physicians enough information to decide whether to participate in an ambitious initiative meant to improve primary care by placing physician practices in risk-based payment agreements. That,...


FDA's recommendation to test blood donations for Zika puts pressure on dwindling supply
Friday, August 26, 2016 3:49 PM
The nation's major blood donation organizations are calling for increased donations in light of "critically low" inventory levels. Hospitals worry about the additional costs to them.


Surgeon general sends letter urging 2.3 million physicians to fight opioid epidemic
Friday, August 26, 2016 1:14 PM
U.S. Surgeon General Vivek Murthy says fighting opioid abuse is one of the highest priorities of the Obama administration. "As clinicians, we have the unique power to help end this epidemic. As cynical as times may seem, the public still looks...


Reports of dirty surgical instruments at Detroit Medical Center trigger state probe
Friday, August 26, 2016 12:39 PM
Michigan's Bureau of Community and Health Systems opened the investigation after the Detroit News reported doctors had repeatedly voiced concerns about dirty surgical instruments.


AMA, others push for right to continue billing panel appeals
Friday, August 26, 2016 11:46 AM
Major medical societies are urging the CMS to continue to allow a decades-old panel that hears appeals from providers who have been underpaid. The CMS, however, largely ignores its recommendations.


Epic EHR costs push ProMedica into the red
Friday, August 26, 2016 11:35 AM
ProMedica, a health system based in Toledo, Ohio, is in the middle of installing an Epic Systems Corp. electronic health record, and that transition led to some financial pain in the first half of 2016.


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Friday, 26 August 2016

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Walgreens clinics run by Catholic SSM will include birth control
Thursday, August 25, 2016 1:11 PM
The not-for-profit Catholic organization SSM Health will provide birth control pills at the 26 clinics inside St. Louis-area Walgreens stores that it began operating Thursday, an SSM spokesman said.


Tumblr tackles mental health issues
Thursday, August 25, 2016 12:51 PM
In recent years, social media sites have tried to take a more active role in promoting mental health, with mixed results. Now the Manhattan-based blogging site Tumblr is taking a discussion-oriented approach.


Fewer than a third of Medicare ACOs received bonuses last year
Thursday, August 25, 2016 12:01 PM
The programs achieved savings of $466 million. In 2015, six of the 12 Pioneer ACOs received bonuses along with 119 of 392 Shared Savings Program ACOs.


EpiPen price backlash comes as consumers pay greater share
Thursday, August 25, 2016 11:59 AM
The controversy surrounding Mylan's EpiPen pricing suggests drugmakers have been slow to adapt to an environment in which millions of Americans must pay thousands of dollars out of pocket before their coverage kicks in.


State Medicaid agencies could spend up to $5 million to cover mosquito repellent
Thursday, August 25, 2016 11:55 AM
With more reports of non-travel related Zika cases popping up in the U.S., state Medicaid agencies are preparing to spend millions to prevent spread of the virus.


CHG Healthcare expands temporary physicians staffing business
Thursday, August 25, 2016 11:53 AM
CHG Healthcare Services purchased Global Medical Staffing, a company that temporarily places physicians in healthcare facilities worldwide. CHG will retain all 50 employees at the firm. Terms of the deal were not disclosed.


Orlando hospitals will pay Pulse shooting victims' medical bills
Thursday, August 25, 2016 11:50 AM
The Orlando, Fla., hospitals that treated the victims of the Pulse nightclub shooting in June will cover all of their out-of-pocket medical bills.


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Thursday, 25 August 2016

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Sen. Manchin mum on EpiPen hikes by daughter's drug company
1:01:00 AM
U.S. Sen. Joe Manchin remained mum Wednesday as a pharmaceutical company run by his daughter faced mounting criticism for hiking prices on life-saving allergy injection pens.


Kentucky submits Medicaid waiver with controversial work requirements
Wednesday, August 24, 2016 5:31 PM
Kentucky's Medicaid plan is modeled after Indiana's waiver in that it requires a monthly premium and uses health savings accounts. The requirement for job training or community service for most adults, however, is new.


American Hospital Association calls for changes to exchanges
Wednesday, August 24, 2016 4:18 PM
The American Hospital Association has warned the Affordable Care Act marketplaces lack stability as insurers exit and concern over drastically rising premiums continues.


NIH launches program to study social health disparities
Wednesday, August 24, 2016 3:26 PM
Two new centers will study the impact of a person's surrounding environment -- the family, local community, the healthcare system -- on health, rather than homing in on individual factors.


Mayo Clinic maintains stable operating margin, but investments falter
Wednesday, August 24, 2016 2:29 PM
Mayo Clinic, the Rochester, Minn.-based hospital system and medical hub, steadily grew its revenue and operating surplus in the first half of 2016, but its investments tanked.


Florida finds Zika case outside of Miami
Wednesday, August 24, 2016 1:57 PM
Florida Gov. Rick Scott on Tuesday announced a non-travel-related case of Zika in the Tampa Bay region.


HHS says 2017 ACA plans will still be affordable despite insurer exits
Wednesday, August 24, 2016 1:52 PM
Despite news of reduced competition and higher premium rates, the federal government argues most consumers will be able to find marketplace coverage for $75 a month or less.


Mount Sinai overpayment settlement puts health systems on notice
Wednesday, August 24, 2016 12:58 PM
Three hospitals within Mount Sinai Health System will pay nearly $3 million to settle a whistle-blower suit alleging they held onto Medicare and Medicaid overpayments beyond the 60-day repayment window, marking one of the first settlements over this...


23andMe escapes California class action for arbitration
Wednesday, August 24, 2016 12:20 PM
A federal appeals court ruled Tuesday that genetic testing company 23andMe can't be sued over allegations that it misled customers about its test kit because the claims belong in arbitration.


TeamHealth continues buying spree of medical groups
Wednesday, August 24, 2016 11:13 AM
TeamHealth has purchased an emergency physicians group in La Mesa, Calif. TeamHealth and other physician staffing companies have shown an insatiable appetite to buy medical groups, although patient billing concerns linger.


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Wednesday, 24 August 2016

Modern Healthcare Breaking News

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Two big health systems in the Bronx consider joining forces
8:45:00 AM
Two Bronx healthcare systems have signed a letter of intent to explore a partnership in the latest sign of consolidation among New York City hospitals.


Baby boomers, drugs pushing up federal healthcare spending
Tuesday, August 23, 2016 4:20 PM
Federal spending for major healthcare programs are estimated to increase by $55 billion, or 6%, in 2016 after a technical adjustment for payment timing shifts, according to a report from the Congressional Budget Office.


Mercy Health's surplus wanes in aftermath of health insurance exit
Tuesday, August 23, 2016 4:02 PM
The operating margin at Mercy Health, the largest health system in Ohio, fell to a slim 0.9% in the first half of this year. Higher labor expenses and the residual effects from a divested insurer hurt the not-for-profit Mercy.


Changes in patent laws needed to lower high drug costs, study says
Tuesday, August 23, 2016 2:43 PM
The government needs to better protect consumers from high prescription medication costs by setting tougher standards for companies seeking drug exclusivity protection for their brand name products, according to a study.


Injured CFO of Integris won't be coming back
Tuesday, August 23, 2016 2:36 PM
David Hadley, the chief financial officer of Integris Health, will not return to the Oklahoma City-based hospital system after suffering an undisclosed injury.


One-third of ACA exchanges will lack competition in 2017
Tuesday, August 23, 2016 2:14 PM
More than a third of the Affordable Care Act's exchanges will have only one participating health insurer in 2017, significantly up from 4% reported this year, according to a recent analysis.


States, hospitals challenge HHS gender transition care rule in court
Tuesday, August 23, 2016 2:10 PM
A slew of states, hospitals and thousands of medical professionals sued HHS on Tuesday to challenge its controversial gender transition care rule for violating religious and states' rights.


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Tuesday, 23 August 2016

Modern Healthcare Breaking News

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Medicare paid these hospitals $1.5 billion to clear backlog of disputed claims
Monday, August 22, 2016 3:32 PM
A year after settling billing disputes with 2,022 hospitals for 68 cents on the dollar to clear a huge backlog of audit appeals, the government has revealed who got paid and how much.


People favor sharing of personal medical data -- by others more than by themselves
Monday, August 22, 2016 1:12 PM
While people generally like the idea of a federally developed, nationwide database aimed at improving medical treatments, many are not keen on giving up their medical information, a new survey shows.


N.J. hospitals settle property tax challenges as legislation languishes
Monday, August 22, 2016 1:01 PM
A smattering of not-for-profit hospitals in New Jersey have decided to settle property-tax claims against them rather than participate in long legal and legislative battles shaping up over the controversial taxes.


Senator seeks FTC investigation into EpiPen prices
Monday, August 22, 2016 1:00 PM
Sen. Amy Klobuchar, a ranking member of the Antitrust Subcommittee, wants the Federal Trade Commission to investigate the "enormous increase in the price of EpiPens," following a number of recent media reports regarding the devices' high...


Aetna, Humana blast DOJ's merger challenge for ignoring reality
Monday, August 22, 2016 12:57 PM
Aetna and Humana fought back against the U.S. Justice Department's challenge to their proposed $37 billion merger, saying the feds' arguments ignore the fluid nature of Medicare Advantage markets.


Valeant, attempting to normalize operations, names new CFO
Monday, August 22, 2016 12:36 PM
Valeant Pharmaceuticals replaced Robert Rosiello as chief financial officer as the embattled company attempts to normalize operations amid a host of ongoing investigations and class action lawsuits.


Pfizer spends $14B on Medivation in cancer fight
Monday, August 22, 2016 11:20 AM
Pfizer will pay about $14 billion to buy cancer drug developer Medivation in a cash deal aimed at fortifying its hold in one of the hottest and most lucrative areas of medicine.


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Monday, 22 August 2016

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Pfizer buying Medivation in deal valued at about $14B
11:20:55 AM
Pfizer is buying the cancer drug company Medivation in a deal valued at about $14 billion.


Iowa agency waives sanctions at start of state's new Medicaid system
Sunday, August 21, 2016 8:45 PM
The state agency overseeing Iowa's transition to a privatized Medicaid program waived any possible sanctions against three insurance companies during the first two months of the new system, and it didn't inform health advocates or lawmakers about...


NIH's Fauci: Gulf Coast states most vulnerable to Zika
Sunday, August 21, 2016 8:30 PM
A National Institutes of Health official said Sunday that the Zika virus could "hang around" the U.S. for a year or two.


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