Friday, 30 September 2016

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NYU Langone expands through affiliation with Winthrop-University Hospital
11:25:45 AM
The two hospitals announced they were exploring a plan to create an integrated health network on Long Island in July, and Wednesday they said their respective boards have approved an affiliation agreement that will bring the two institutions...


Federal judge blocks Arkansas Planned Parenthood defunding
8:45:00 AM
A federal judge on Thursday temporarily prohibited Arkansas from blocking Medicaid payments to Planned Parenthood, expanding her order requiring the state to continue paying for services for three patients who had sued over the move.


UnitedHealth subsidiary ditches ACA exchange after posting losses
Thursday, September 29, 2016 7:04 PM
Harken Health, UnitedHealth Group's experimental health plan subsidiary, is pulling out of the Affordable Care Act exchange markets in Chicago and Atlanta after losing nearly $70 million in the first six months of 2016. And its founding CEO has been...


Not-for-profit hospitals improved performance in 2015 but it won't last: Fitch Ratings
Thursday, September 29, 2016 3:22 PM
Operating performance improved across all not-for-profit hospitals in 2015 but it's not expected to continue this year as the CMS further implements value-based reimbursement models, according to Fitch Ratings analysts.


Zika fight funding delay may have affected research on Alzheimer's and diabetes
Thursday, September 29, 2016 2:54 PM
"The effects of this delay in funding is probably going to be felt years down the road," said Dr. Bruce Lee, an associate professor of International Health at the Johns Hopkins Bloomberg School of Public Health.


CMS awards $347 million to healthcare groups to improve patient safety
Thursday, September 29, 2016 2:32 PM
Sixteen healthcare organizations will receive $347 million to support 4,000 hospitals across the U.S. in reducing harm to patients.


Medicaid expansion a must for next president, but how?
Thursday, September 29, 2016 1:41 PM
Expansion of Medicaid in the 19 states that have not already done so should be a healthcare priority of the next president and Congress, a panel of healthcare policy experts told a breakfast audience Thursday of the Nashville Health Care Council.


States say Medicaid provider access rule is ineffective and burdensome
Thursday, September 29, 2016 11:44 AM
Some want to opt out of a CMS rule effective this week that's meant to ensure Medicaid beneficiaries have adequate access to care. State officials say the rule is outdated and a waste of administrative resources. But scofflaws could see their...


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Thursday, 29 September 2016

Modern Healthcare Breaking News

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Horizon settles Express Scripts rebates lawsuit
11:41:02 AM
Horizon Pharma has settled a lawsuit with prescription benefits manager Express Scripts related to disputed drug rebates.


BREAKING: CHS sells four rural hospitals in debt-reduction effort
9:01:12 AM
Not-for-profit Curae Health is buying four CHS hospitals; Merit Health Gilmore Memorial in Amory, Miss., Merit Health Batesville in Batesville, Miss., Merit Health Northwest Mississippi in Clarksdale, Miss. and Highlands Regional Medical Center in...


Ascension sells hospitals in Idaho and Washington state
Wednesday, September 28, 2016 5:28 PM
Ascension will sell hospitals in Idaho and Washington to the for-profit hospital company created this summer through the merger of RegionalCare and Capella Healthcare, the companies announced Wednesday.


Dignity Health CEO, other Wells Fargo board members decide to claw back executive pay
Wednesday, September 28, 2016 5:15 PM
Dignity Health CEO Lloyd Dean, chair of the Human Resources Committee at Wells Fargo & Co., and other Wells Fargo board members agreed to claw back $41 million from CEO John Stumpf as a penalty for the conglomerate's bank-account scandal.


Geisinger Health acquires Pa. medical school
Wednesday, September 28, 2016 4:38 PM
Danville, Pa.-based Geisinger Health System announced Wednesday that it has acquired the Commonwealth Medical College, based in Scranton, Pa.


Vermont gets preliminary OK to move toward all-payer system
Wednesday, September 28, 2016 4:27 PM
Vermont has received tentative approval from the Obama administration to move toward an all-payer reimbursement system, under which healthcare providers are paid the same rate by all insurers, whether government or private.


Divided over bundled payments
Wednesday, September 28, 2016 3:18 PM
Hospitals and employers have different ideas about the medical conditions and treatments they'd like to see included in bundled payments. For consumers, these new payment models are broadly appealing.


Feds recovered $2.4 billion in healthcare fraud last year
Wednesday, September 28, 2016 1:21 PM
Officials told a House subcommittee Wednesday that government agencies and contractors are trying to prevent fraud through better use of data analytics.


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Wednesday, 28 September 2016

Modern Healthcare Breaking News

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BREAKING: Chinese billionaire buys more CHS stock
11:15:00 AM
Chinese billionaire Tianqiao Chen has purchased about 929,800 more shares of Community Health Systems, raising his stake in the troubled hospital chain to 13.8% of the shares outstanding, according to a regulatory filing Wednesday.


Maryland group attacks high cost of prescription drugs
8:45:00 AM
The Maryland Citizens' Health Initiative, a coalition of more than 1,200 religious, labor, business and policy groups seeking quality and affordable health care, wants the state Legislature to address that financial burden by overhauling some of the...


Former Tuomey CEO to personally pay $1 million to settle False Claims Act case
Tuesday, September 27, 2016 6:30 PM
The former CEO of Tuomey Healthcare will personally pay $1 million to resolve his involvement in entering physician compensation arrangements that led to one of the largest-ever Stark law cases.


New initiative provides tools for health systems to re-invest in impoverished communities
Tuesday, September 27, 2016 3:04 PM
A new initiative launched Tuesday aims to go beyond community benefit programs to give hospitals incentives to use their hiring, purchasing and investing power as a means of revitalizing underserved communities to improve the health of their...


Aetna makes large bet on wellness with Apple Watches
Tuesday, September 27, 2016 2:46 PM
Apple Watches are becoming near-ubiquitous in healthcare and the corporate world, and health insurer Aetna is now investing heavily in the wellness promises of the device.


MedPAC questions validity of CMS' hospital star ratings
Tuesday, September 27, 2016 1:19 PM
The panel, which advises Congress on Medicare spending, will develop its own quality measures and a corresponding payment structure.


WebMD ousts CFO amid management shake-up
Tuesday, September 27, 2016 12:30 PM
Just a week after choosing a new CEO, WebMD Health Corp. is ousting CFO Peter Anevski. A company spokesman declined to comment on Anevski's departure.


FTC wins appeal to halt Penn State Hershey/PinnacleHealth merger
Tuesday, September 27, 2016 12:30 PM
A federal appeals court on Tuesday ordered Penn State Hershey (Pa.) Medical Center and PinnacleHealth System to pause their merger as the Federal Trade Commission reviews antitrust concerns about the deal, reversing the agency's prior loss in the...


The FDA's revolving door raises ethical questions
Tuesday, September 27, 2016 11:37 AM
An analysis of 55 FDA medical officers, who review and approve drugs, found that more than a quarter went on to work for the pharmaceutical industry, bolstering concerns about ethical conflicts and the efficacy and quality of drugs.


Roper St. Francis picks Lorraine Lutton as next CEO
Tuesday, September 27, 2016 11:34 AM
Roper St. Francis, a three-hospital system in Charleston, S.C., that is building a fourth hospital, has selected Lorraine Lutton as its next CEO. Lutton, a quality expert who is president of St. Joseph's Hospital in Tampa, Fla., is replacing the...


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Tuesday, 27 September 2016

Modern Healthcare Breaking News

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IU Health Plans leaving Indiana's ACA exchange
Monday, September 26, 2016 6:00 PM
Indiana University Health Plans, the insurance arm of the IU Health provider system, will not offer plans on the state's Affordable Care Act marketplace in 2017, the company said Monday.


Tenn. Blues withdrawing from ACA exchanges in Nashville, Memphis and Knoxville
Monday, September 26, 2016 5:15 PM
Blue Cross and Blue Shield of Tennessee announced Monday that it is withdrawing from the Affordable Care Act exchanges next year in the state's three largest markets: Memphis, Nashville and Knoxville.


Think tank proposes letting Medicare negotiate drug prices
Monday, September 26, 2016 3:43 PM
The Center for American Progress released a paper Monday outlining a method for pricing drugs based on their value through the use of comparative-effectiveness research and an arbitration process.


Connecticut hospitals lose challenge to state user fee tax
Monday, September 26, 2016 3:42 PM
Two Connecticut regulators last week upheld a controversial state tax on hospitals' net patient revenue, opening the door for dozens of hospitals to take their challenge to court.


Anthem uses report findings to support conservative cost-sharing Medicaid expansion plans
Monday, September 26, 2016 3:26 PM
When given a choice, most Medicaid beneficiaries are willing to pay for healthcare coverage and are more proactive about their care when they do, according to an analysis by Anthem's Public Policy Institute.


Executive pay at Health Care Service Corp. rises despite ACA troubles
Monday, September 26, 2016 12:43 PM
Salaries and bonuses were up across the board in 2015 for top leaders at Health Care Service Corp. even though the Blue Cross and Blue Shield insurer suffered substantial losses in the ACA marketplaces. The highest-paid executive was former CEO...


Florida Supreme Court ruling means nursing home residents not bound to unsigned contracts
Monday, September 26, 2016 12:40 PM
The Florida Supreme Court on Thursday ruled a patient couldn't be forced to arbitrate disputes with the nursing home he resides in because he didn't sign the underlying contract.


Visiting Nurse Service faces second lawsuit claiming improper Medicare, Medicaid billing
Monday, September 26, 2016 12:36 PM
A former executive at Visiting Nurse Service of New York filed a lawsuit against the agency under claims it consistently bills Medicare and Medicaid for treatment but it doesn't provide the services.


GAO slams HHS in health IT cybersecurity report
Monday, September 26, 2016 12:32 PM
The GAO has released what's being called a "scathing" report on cybersecurity readiness and threats in health IT. The agency says HHS' investigations often result in technical advice that is not pertinent and that the agency doesn't always follow up...


DOJ awards $8.8 million to strengthen drug-monitoring databases
Monday, September 26, 2016 12:28 PM
Physicians, pharmacists and in some states, police, will have access to new or enhanced, state-wide prescription drug databases that will be funded by $8.8 million in new grants from the Justice Department.


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Monday, 26 September 2016

Modern Healthcare Breaking News

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Pfizer chooses to not break up business
11:14:39 AM
The company said Monday it believes it is best positioned to maximize shareholder value in its current form, but it reserves the right to split in the future if the situation changes.


When doctors get the wrong patient
Sunday, September 25, 2016 7:00 PM
Cases of mistaken identity happen all the time in healthcare institutions. A new analysis details the causes of these mixups, the consequences for patients and ways healthcare leaders can address the problem.


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Sunday, 25 September 2016

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Striking nurses, Allina Health agree to bargaining session
Saturday, September 24, 2016 6:00 PM
Union nurses and Allina Health will return to bargaining for the first time since nearly 5,000 nurses at five Minneapolis-area hospitals went on strike nearly three weeks ago.


Failed insurer's customers face deadline to find new plan
Saturday, September 24, 2016 11:30 AM
Illinois insurance regulators are reminding customers of Land of Lincoln Health that they must enroll in a newhealth insurance policy with a different company by the end of the month or they'll have a gap in coverage.


FDA approves lower-cost alternative to biotech drug Humira
Saturday, September 24, 2016 11:30 AM
Federal regulators on Friday approved the first alternative version of the second-best selling drug in the world, Humira, the blockbuster injection used to treat rheumatoid arthritis and other inflammatory diseases.


Court clears way for Texas to make children therapy cuts
Saturday, September 24, 2016 11:30 AM
Texas can proceed with cutting $350 million from a Medicaid program that provides therapy for disabled children after a lawsuit stalled at the state's highest court.


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Saturday, 24 September 2016

Modern Healthcare Breaking News

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Failed insurer's customers face deadline to find new plan
11:30:00 AM
Illinois insurance regulators are reminding customers of Land of Lincoln Health that they must enroll in a newhealth insurance policy with a different company by the end of the month or they'll have a gap in coverage.


FDA approves lower-cost alternative to biotech drug Humira
11:30:00 AM
Federal regulators on Friday approved the first alternative version of the second-best selling drug in the world, Humira, the blockbuster injection used to treat rheumatoid arthritis and other inflammatory diseases.


Court clears way for Texas to make children therapy cuts
11:30:00 AM
Texas can proceed with cutting $350 million from a Medicaid program that provides therapy for disabled children after a lawsuit stalled at the state's highest court.


Analyses find Clinton, Trump health plans both add to federal deficit
Friday, September 23, 2016 4:04 PM
Democratic nominee Hillary Clinton's plan would increase health coverage while her rival Donald Trump's plan would eliminate coverage for more than 20 million.


Telehealth provisions of ACO improvement bill win praise
Friday, September 23, 2016 2:55 PM
The measure co-sponsored by Reps. Diane Black (R-Tenn.) and Peter Welch (D-Vt.) would reduce regulatory burdens for ACOs by waiving the telehealth site-of-service requirements.


HCSC shifting IT jobs overseas: report
Friday, September 23, 2016 1:45 PM
Chicago-based Health Care Service Corp. is planning to lay off 70% of its IT infrastructure staff and offshore the jobs to a foreign country, according to a trade magazine for technology workers.


Hot water equipment used in hospitals may contribute to Legionnaires' disease
Friday, September 23, 2016 12:27 PM
Hot water equipment used in hospitals to conserve energy may be a haven for harmful bacteria, according to a recent study. Changes in a patient's length of stay, which is falling as a result of healthcare payment reform, can also contribute to the...


Advanced prostate biopsy equipment gains popularity despite limited reimbursement
Friday, September 23, 2016 12:25 PM
A wider range of providers are investing in sophisticated biopsy equipment for prostate cancer, even though there's limited reimbursement for the technology, and disagreement as to whether the disease needs to be intensively treated.


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Friday, 23 September 2016

Modern Healthcare Breaking News

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35 states sue maker of opioid addiction drug over antitrust violations
Thursday, September 22, 2016 6:23 PM
A slew of states have accused the maker of a top opioid addiction treatment of violating state and federal antitrust laws in an attempt to preserve their monopoly of the industry and score billions of dollars in ill-gotten sales.


McConnell unveils stopgap spending bill that includes anti-Zika funds
Thursday, September 22, 2016 5:27 PM
The Senate's top Republican on Thursday unveiled legislation to prevent a government shutdown next weekend and provide more than $1 billion to battle the Zika virus. It also would provide $500 million to help Louisiana rebuild from last month's...


Peterson Center launches initiative to improve primary care
Thursday, September 22, 2016 4:53 PM
The Peterson Center on Healthcare is launching an initiative to improve quality of care, patient satisfaction and reduce costs at three primary-care practices. But unlike a similar CMS effort, the Peterson initiative does not seek to reform the way...


Most physicians report low morale, burden from new payment models
Thursday, September 22, 2016 1:50 PM
A new survey from the Physicians Foundation found 54% of physicians reported negative morale in their career and only 37% described their feelings about the future of their profession as positive.


CMS teams up with Medicaid directors for network adequacy guidance
Thursday, September 22, 2016 1:49 PM
The CMS is teaming up with state Medicaid directors to set guidelines for managed Medicaid plans to ensure network adequacy.


SEIU urges N.J. attorney general to force the sale of five Prime hospitals
Thursday, September 22, 2016 1:36 PM
The powerful Service Employees International Union is urging the attorney general of New Jersey to force a sale of five Prime Healthcare Services hospitals in response to a federal lawsuit against the hospital chain alleging it fraudulently billed...


Supreme Court pauses Dignity Health pension decision
Thursday, September 22, 2016 1:32 PM
The U.S. Supreme Court made its first move toward weighing in on whether Dignity Health and faith-based companies have to comply with federal regulations for costly worker pension plans.


Rapid adoption of bundled payments remains an act of faith
Thursday, September 22, 2016 12:20 PM
The dearth of data about the effectiveness of this payment model raises concerns for some, even as the government plows ahead with its voluntary and mandatory bundled-payment programs.


Extending EpiPen shelf life could be a relief for patients, costly for Mylan
Thursday, September 22, 2016 12:18 PM
Mylan CEO Heather Bresch's recent announcement that Mylan is looking to extend the shelf life of the EpiPen could be a relief for patients, but a costly move for Mylan since it may take significant research and development to change epinephrine, the...


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Thursday, 22 September 2016

Modern Healthcare Breaking News

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DOJ: Anthem and Cigna pointed fingers over merger breach
Wednesday, September 21, 2016 6:58 PM
Anthem and Cigna Corp. remain contentiously at odds over their pending deal, with attorneys on both sides alleging the other last month of breaching the terms of their merger agreement.


U.N. adopts declaration on anti-microbial resistance
Wednesday, September 21, 2016 5:41 PM
World leaders approved a wide-ranging declaration Wednesday aimed at addressing the rising number of drug-resistant infections -- something the World Health Organization says has the potential to kill millions and undermine the global economy,...


Mixed reactions to CMS tool predicting impact of MACRA on providers' bottom line
Wednesday, September 21, 2016 2:48 PM
The CMS will unveil a new web tool that helps clinicians assess the potential impact of merit-based incentive payment systems (MIPS) on their reimbursement. It will also help them evaluate their performance under the system and provide tips to...


Mylan CEO defends EpiPen cost to angry lawmakers
Wednesday, September 21, 2016 2:45 PM
Outraged Republican and Democratic lawmakers on Wednesday grilled the head of pharmaceutical company Mylan about the significant cost increase of its life-saving EpiPens and the profits for a company with sales in excess of $11 billion.


House Republicans push Burwell to clarify ACA's risk corridors
Wednesday, September 21, 2016 1:29 PM
Five Republican House members on the Energy and Commerce Committee sent a letter Tuesday to HHS Secretary Sylvia Mathews Burwell demanding answers to how the federal government is handling a much-maligned insurance provision within the Affordable...


Millennials say they lack time to devote to health
Wednesday, September 21, 2016 1:27 PM
A survey from Novant Health asked 419 millennials questions about their health and lifestyle. About 66% of respondents reported they would take better care of themselves if they had more time.


Quality of care doesn't improve at hospitals that employ physicians
Wednesday, September 21, 2016 12:53 PM
A study in the journal Annals of Internal Medicine found quality of care was largely the same at hospitals that directly employ physicians compared to those that do not. In a growing upward trend, hospitals nationwide are employing physicians and...


ACA plans that see 2017 enrollment surge may avoid enforcement over consumer complaints
Wednesday, September 21, 2016 12:29 PM
Health insurers that sell plans on the federal HealthCare.gov marketplace may not face "enforcement remedies" in 2017 if they fail to follow all of the rules around consumer complaints, the CMS said in a recent memo.


UPMC invests in tech firm to grow Medicare Advantage membership
Wednesday, September 21, 2016 12:26 PM
Hilton Head, S.C.-based Cavulus, which has been in business for 10 years, uses predictive modeling and data analytics tools to help health insurance companies grow membership, primarily in the Medicare Advantage market.


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