Wednesday, 30 November 2016

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Advocates see mental health, substance abuse reforms in Cures bill as big step forward
Tuesday, November 29, 2016 3:12 PM
A vote on the 21st Century Cures Act could boost mental healthcare and addiction treatment. But advocates worry that a repeal of the Affordable Care Act's Medicaid expansion could undercut the benefits of the new legislation.


Insurers, physicians ask Congress to reject site-neutral provision in 21st Century Cures
Tuesday, November 29, 2016 1:45 PM
The Blue Cross and Blue Shield Association and America's Health Insurance Plans are among those asking Congress to reject a provision in the 21st Century Cures Act that allows some hospital-owned outpatient facilities to dodge recently finalized...


Trump's CMS pick is viewed as both patient advocate and foe
Tuesday, November 29, 2016 1:36 PM
Verma has supported charging premiums to individuals above and below the poverty line and freezing beneficiaries out of coverage if they don't pay. But she could prove to be a knowledgeable ally to states looking to better control their Medicaid...


Abortion rights activists decry Price nomination as HHS secretary
Tuesday, November 29, 2016 1:33 PM
"His voting record is just breathtakingly, across-the-board concerning for women's health and families," said Dr. Anne Davis, consulting medical director at Physicians for Reproductive Health.


Cures Act would give pass to lowest-quality Medicare Advantage plans
Tuesday, November 29, 2016 11:52 AM
If Congress passes the 21st Century Cures Act, the federal government would be barred from axing the worst performers in Medicare Advantage through 2018.


21st Century Cures Act reboot keeps controversial changes for FDA
Tuesday, November 29, 2016 11:48 AM
With the fast-tracked reboot of the 21st Century Cures Act, drug and device manufacturers may be about to win long sought revisions to the way the Food and Drug Administration approves and regulates their products.


Zenefits will pay $3.7 million settlement over licensing issues
Tuesday, November 29, 2016 11:36 AM
The Silicon Valley-based company was dinged by state regulators for allegedly allowing unlicensed employees to handle insurance transactions and for circumventing insurance agent education requirements.


Henry Ford drops out of bundled-payment program
Tuesday, November 29, 2016 11:32 AM
Henry Ford is one of dozens of other hospitals, medical groups and nursing homes nationally that have dropped out of the bundled-payment model program over the past three years for a variety of reasons.


MetroHealth will spend $855 million to transform Cleveland campus
Tuesday, November 29, 2016 11:13 AM
The MetroHealth System plans to construct a new hospital to replace its aging patient towers, laying out a path to move forward with its long-discussed campus transformation on its own credit.


UPMC hourly workers strike to protest wages, union rights
Tuesday, November 29, 2016 11:12 AM
More than 100 workers at Pittsburgh-based UPMC staged a labor strike Tuesday to protest wages and union rights. The striking workers allege UPMC has prevented them from forming a local under the Service Employees International Union-Healthcare...


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Tuesday, 29 November 2016

Modern Healthcare Breaking News

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Trump picks Rep. Tom Price for HHS secretary, Verma for CMS
Monday, November 28, 2016 10:09 PM
Price and Verma would be key to Trump's plan to repeal and replace the ACA. Price's ACA replacement plan would allow people to opt out of Medicare and Medicaid and receive tax credits to buy individual plans. Verma helped craft Indiana's Medicaid...


Premier to acquire non-acute GPOs from New York hospital group
Monday, November 28, 2016 4:09 PM
Premier is buying out two group purchasing organizations owned by the Greater New York Hospital Association that serve non-acute providers.


Longtime Billings Clinic CEO Wolter to retire
Monday, November 28, 2016 4:02 PM
Dr. Nicholas Wolter, longtime CEO of Billings (Mont.) Clinic, will retire from the not-for-profit system in January.


OIG: Minnesota's ACA marketplace misallocated federal funds
Monday, November 28, 2016 1:05 PM
Minnesota marketplace may have improperly spent federal grants that were meant to help establish its health insurance marketplace, according to a new report by HHS' Office of Inspector General.


'Cures' bill gains momentum with wish-list provisions
Monday, November 28, 2016 12:30 PM
The 21st Century Cures Act, an already sweeping package of legislation, appears to be getting a last-ditch push from several industry and advocacy groups that are counting on using the bill to get new traction on measures that have stalled.


Efficient use of blood is causing financial trouble for blood banks
Monday, November 28, 2016 11:22 AM
Falling demand for blood is creating financial challenges and fueling uncertainty for organizations depended on to maintain the nation's blood supply, according to a new study sponsored by the federal government.


CHI takes $483 million operating loss into Dignity merger talks
Monday, November 28, 2016 11:10 AM
Catholic Health Initiatives is bringing an operating loss of $483 million from its 2016 fiscal year to its merger talks with Dignity Health. CHI attributed the losses to lower patient volumes, higher labor costs and its struggling health plan.


CMS' star ratings for hospitals linked to social, economic factors
Monday, November 28, 2016 11:07 AM
A new study suggests the socio-economic conditions where a hospital is located heavily influence its quality rating published on the federal government's Hospital Compare website.


CMS extends conservative Medicaid transportation waivers in Indiana, Iowa
Monday, November 28, 2016 11:02 AM
The CMS has renewed conservative Medicaid waiver proposals from Indiana and Iowa that will extend into President-elect Donald Trump's incoming administration.


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Monday, 28 November 2016

Modern Healthcare Breaking News

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21st Century Cures Act will get vote this week
Sunday, November 27, 2016 4:02 PM
The House of Representatives will vote Wednesday on a long-stalled package of biomedical innovation bills along with a vote on whether to add state funding to fight opioid misuse.


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Thursday, 24 November 2016

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Better data, lifting language barriers key to improving access for minorities
Wednesday, November 23, 2016 2:17 PM
In order to address racial and ethnic health inequities among Medicare beneficiaries, healthcare organizations must gather better data, provide patients with information in their native tongue and make it easier for people with disabilities to enter...


Opposition builds in Mountain States, Wellmont Health hospital merger
Wednesday, November 23, 2016 12:45 PM
The Federal Trade Commission and a cadre of prominent health economists are urging Tennessee officials to reject a potential merger between Mountain States Health Alliance and Wellmont Health System.


UMass Amherst dinged with $650,000 HIPAA settlement
Wednesday, November 23, 2016 12:24 PM
The Office for Civil Rights at HHS added to its record-setting tally of HIPAA enforcement actions this year by extracting a $650,000 payment from the University of Massachusetts at Amherst.


Medicare equipment payment appeals OK'd 80% of the time in new demo
Wednesday, November 23, 2016 11:46 AM
Preliminary data indicates the demonstration resulted in approximately 80% favorable outcomes for suppliers who participated in a discussion, twice the level experienced by suppliers who appealed in the traditional way.


Juno Therapeutics halts study after more patient deaths
Wednesday, November 23, 2016 11:18 AM
Juno Therapeutics is halting the study of an experimental leukemia treatment for a second time after the death of two more patients. Two patients were reported dead in the closely watched drug trial in July.


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Wednesday, 23 November 2016

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Is America ready for a major Medicare overhaul?
Tuesday, November 22, 2016 5:34 PM
Some healthcare leaders would welcome plans to turn Medicare into a "premium-support" system that pays a fixed amount per beneficiary, but they want to see more details before they take a side.


CMS releases list of possible Medicare quality, efficiency reporting measures
Tuesday, November 22, 2016 4:57 PM
The CMS on Tuesday released a list of nearly 100 reporting measures under consideration for Medicare's quality and value-based purchasing programs.


Judge says severely anorexic patient can refuse forced feedings at hospital
Tuesday, November 22, 2016 1:55 PM
A New Jersey judge has ruled a severely anorexic woman committed to a state psychiatric hospital two years ago can refuse forced feedings and granted her request for care to relieve pain or discomfort.


New Hampshire seeks consulting firm to help launch MLTSS program
Tuesday, November 22, 2016 1:37 PM
New Hampshire is looking for help on implementing a managed long-term services and supports (MLTSS) program.


Removing Essure implant poses new risks to patients
Tuesday, November 22, 2016 1:28 PM
When doctors attempt to remove the device by pulling, "it's like grabbing a slinky and trying to pull it when it's attached to cement," said one OB/GYN. "It unravels, and it just snaps on you."


As HHS secretary, Price would likely focus on state healthcare reform
Tuesday, November 22, 2016 1:07 PM
He has supported the idea of states controlling their own healthcare dollars, even if the ideas are more left-leaning than he might personally advocate. Price also worked with Democrats and has shown a willingness to talk about policy ideas from...


Only hospital in rural Texas community closes
Tuesday, November 22, 2016 11:26 AM
The sole hospital in Wharton, Texas, just south of Houston, has closed. The Gulf Coast Medical Center is directing residents to either El Campo Memorial or OakBend Medical Center, which is more than a half-hour away.


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Tuesday, 22 November 2016

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NY was overpaid for health exchange setup
10:02:08 AM
New York improperly used as much as $150 million in grants to set up its insurance exchange under President Barack Obama's health care law and help people enroll for coverage,...


House Republicans seek delay in case to end ACA cost-sharing subsidies
Monday, November 21, 2016 6:12 PM
The move is meant to buy President-elect Donald Trump time to craft an Affordable Care Act replacement.


When teaching hospitals fail to practice best practices
Monday, November 21, 2016 3:21 PM
A new analysis by Consumer Reports named 31 teaching hospitals that ranked among worst-performing hospitals on central line-associated infections.


California judge remands Essure case to state court, in minor win for plaintiffs
Monday, November 21, 2016 1:48 PM
By having their cases heard in state court, the plaintiffs can join a larger, recently coordinated group of cases in California filed against Bayer over harm allegedly caused by its sterilization device Essure.


Anthem, DOJ attorneys present opening statements in merger trial
Monday, November 21, 2016 12:39 PM
The government argued that the proposed $54.2 billion deal would mean fewer choices in healthcare and lower quality of care. Anthem countered that insurance markets are unique and the merger would improve, not hinder, innovation and pricing.


Quest to expand patient-initiated testing
Monday, November 21, 2016 12:17 PM
Quest Diagnostics will expand a program that allows consumers to order certain lab tests without a doctor's order. It's a response to the growing trend of consumers taking charge of their healthcare.


CMS seeks to block supplemental Medicaid payments to providers
Monday, November 21, 2016 11:28 AM
The CMS wants to end billions in supplemental funding that helped safety net and Medicaid providers care for the poorest people.


UPMC Health Plan strikes joint venture with southeastern Pennsylvania system
Monday, November 21, 2016 11:01 AM
Provider-owned insurer UPMC Health Plan and Reading Health System on Monday said they are forming a joint venture to offer health insurance to employers and individuals in southeastern Pennsylvania.


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Monday, 21 November 2016

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Trump win sinks effort to expand Medicaid in Nebraska
Sunday, November 20, 2016 1:11 PM
Nebraska lawmakers who have fought for years to expand Medicaid coverage under the federal health care law are backing off their effort now that Donald Trump has won the presidential race and Republicans held their majority in Congress.


Heath advocates: Kentucky Medicaid changes could affect diabetes care
Sunday, November 20, 2016 1:07 PM
Kentucky's dentists and optometrists asked Gov. Matt Bevin's administration not to remove dental and vision coverage from basic Medicaid benefits. But the state is allowing benefits for only the first three months of Medicaid coverage.


Four killed in crash of air-ambulance flight in northern Nevada
Sunday, November 20, 2016 12:44 PM
An air-ambulance plane taking a heart-disease patient to a Utah hospital crashed in a parking lot in northern Nevada, killing all four people aboard and sending up explosions and flames.


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Saturday, 19 November 2016

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Dignity's Lloyd Dean resigns from Navigant's board
Friday, November 18, 2016 5:06 PM
Lloyd Dean, CEO of Dignity Health, is resigning from the board of directors at Navigant Consulting. Dean is looking to spend more time on Dignity's pending merger with Catholic Health Initiatives.


Dr. Denton Cooley, who performed first heart transplant in the U.S., dies at 96
Friday, November 18, 2016 4:10 PM
Dr. Denton Cooley, the world-renowned cardiovascular surgeon and founder of the Texas Heart Institute, died Friday at age 96.


GOP lawmakers move to bar Obama administration from settling risk-corridor lawsuits
Friday, November 18, 2016 4:09 PM
A group of Republican senators introduced a bill Friday to bar the government from paying any award or settlement to the growing number of health insurers suing for funds owed to them under one of the Affordable Care Act's risk programs.


Memorial Hermann hospital and a Kindred nursing home win 2016 Baldrige awards
Friday, November 18, 2016 12:23 PM
Memorial Hermann Sugar Land Hospital and Kindred Nursing and Rehabilitation Center-Mountain Valley are among the four winners of the annual Malcolm Baldrige National Quality Award, the nation's highest presidential honor for excellence among...


Curae sees opportunity in rural hospitals that for-profit chains are selling
Friday, November 18, 2016 12:03 PM
The big for-profit chains nowadays are selling rural hospitals because, even if they are profitable, they can't generate the margins that shareholders demand.


Pfizer sues Texas agency over leaked drug prices
Friday, November 18, 2016 12:01 PM
Pfizer has to give the Texas Health and Human Services Commission drug price information as part of the state's Medicaid program. But that information isn't supposed to be handed over to legislators.


AMA releases guidance on safe, effective use of digital health devices
Friday, November 18, 2016 11:43 AM
The new AMA policy comes as digital health devices are increasingly being used by patients to promote wellness. Yet, the devices are unregulated, rarely covered by insurance, and can be compromised.


CMS survey of patients under MIPS not likely to shed light
Friday, November 18, 2016 11:28 AM
The CMS next year will ask Medicare beneficiaries how their providers are doing under new payment models aimed at improving the quality of care while lowering cost. But critics say it's not likely to help consumers.


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Friday, 18 November 2016

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CHS has buyer for hospitals in Spokane, Wash.
Thursday, November 17, 2016 9:36 PM
MultiCare Health System is buying two hospitals and a multi-specialty clinic for $425 million. The companies said the price is subject to certain unidentified adjustments.


Hospital stocks rise as defiant Yellen vows to stay on under Trump
Thursday, November 17, 2016 4:45 PM
Healthcare providers posted solid gains Thursday after Federal Reserve Chair Janet Yellen assured markets that she would continue to go slow on interest-rate hikes and she planned to stay at the helm of the money-policy board through the end of her...


ACA repeal without replacement could spur insurer exodus
Thursday, November 17, 2016 3:29 PM
Repealing the Affordable Care Act without promptly passing a replacement, combined with administrative actions undermining the law, could prompt health plans to abandon the individual insurance markets in 2018 and possibly as early as 2017.


CMS launches online tool to ease MACRA compliance
Thursday, November 17, 2016 1:57 PM
The tool is an application program interface or API that will allow physicians and their practices to build software that enables sharing of quality measure data for MACRA.


Did looming ACA repeal doom Medicaid expansion in South Dakota?
Thursday, November 17, 2016 1:35 PM
Republican Gov. Dennis Daugaard of South Dakota abandoned plans to expand Medicaid after a meeting with Mike Pence. The vice president-elect could have warned him that the GOP-led Congress will repeal the Affordable Care Act's matching federal...


Ascension's newly acquired Wisconsin hospitals carry quarterly surplus
Thursday, November 17, 2016 1:21 PM
Wheaton Franciscan Healthcare's Milwaukee-area hospitals already has paid dividends for Ascension. The Catholic hospital giant posted higher revenue and operating income in the first quarter of 2017, largely due to acquiring Wheaton in March.


U.S. has its first healthcare quality and safety PhD program
Thursday, November 17, 2016 12:08 PM
The program, at Northwestern University, leverages the expertise of professionals from outside of healthcare to bring a fresh approach to solving problems within healthcare.


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