Tuesday, 31 January 2017

Modern Healthcare Breaking News

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Cleveland Clinic weighs in on doctor forced to leave United States
10:19:22 AM
A Cleveland Clinic medical intern was diverted back to Saudi Arabia, and two others were detained but ultimately let into the U.S. after President Donald Trump banned visitors from seven predominantly Muslim countries for 90 days.


Aetna profit grows 5% despite membership losses
7:30:14 AM
Despite losing hundreds of thousands of members in 2016, higher premiums in Aetna's Medicare and Medicaid businesses helped the Hartford, Conn.-based insurer build revenue.


House Republicans offer bills to stabilize the individual insurance market
Monday, January 30, 2017 6:35 PM
Four bills, to be discussed at an Energy and Commerce Committee hearing Thursday, address issues that insurers say have increased their costs and unbalanced the risk pool, and could conceivably attract Democratic support.


Kaiser Permanente faces $2.5M-plus in penalties for Medi-Cal data shortfall
Monday, January 30, 2017 1:01 PM
Kaiser Permanente faces more than $2.5 million in penalties for its alleged failure to supply California state regulators with properly formatted claims data from Kaiser's Medicaid managed-care plans.


Obama administration's report could help GOP justify Medicaid cuts
Monday, January 30, 2017 12:12 PM
Medicaid expenditures grew 4.3% to $575.9 billion in 2016. The feds' spending grew 4.5% to $363.4 billion, according to the Obama administration's final annual financial report. The admission comes as GOP lawmakers look for ways to cut spending in...


Healthcare industry celebrates 'one-in, two-out' executive order despite unknowns
Monday, January 30, 2017 12:05 PM
President Donald Trump's latest executive order requires executive departments or agencies to remove two previously implemented regulations for every new regulation issued.


Could 13 beds be this hospital system's lucky number?
Monday, January 30, 2017 11:36 AM
Micro-hospitals are popping up across the country, but have yet to gain steam in the Chicago area. An $81 million micro-hospital in suburban Crystal Lake would serve patients coming in for a simple procedure and who need to stay overnight.


New investigation launched at DMC over alleged dirty surgical instruments
Monday, January 30, 2017 11:28 AM
One month after Detroit Medical Center received a clean bill of health on violations in infection control of surgical instruments, the CMS and the Michigan Department of Licensing and Regulatory Affairs have launched a new investigation.


Universal American investor sues, claiming $800M WellCare purchase shortchanges stockholders
Monday, January 30, 2017 11:22 AM
An investor in Universal American Corp. has sued the insurer, alleging the company fails to give stockholders adequate compensation for its proposed $800 million acquisition by WellCare Health Plans.


Congressional Republicans eye obscure law as a tool for quickly voiding ACA rules
Monday, January 30, 2017 12:01 AM
Conservative legal activists are pushing Republicans to make unprecedented use of a 1996 law they claim would allow Congress to swiftly ax Affordable Care Act-related rules issued during the Obama administration. The approach is legally untested and...


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Saturday, 28 January 2017

Modern Healthcare Breaking News

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AP poll shows broad concerns about potential health care loss
Friday, January 27, 2017 12:09 PM
Though "Obamacare" still divides Americans, a majority worries many will lose coverage if the 2010 law is repealed in the nation's long-running political standoff over health care.


Small business to Trump: Let us help revamp Obamacare
Friday, January 27, 2017 11:29 AM
Seven years into Obamacare, small business owners across the Midwest say health insurance still costs too much and they struggle to find affordable plans for their workers.


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Friday, 27 January 2017

Modern Healthcare Breaking News

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Plan to unite Brooklyn hospitals won't solve financial troubles, critics say
10:41:24 AM
Some say a plan to unite struggling Interfaith Medical Center in Bedford-Stuyvesant with three other Brooklyn hospitals wouldn't be sufficient to make the hospitals financially stable. The institutions are currently slated to receive $310 million...


BREAKING: Dr. Ram Raju takes key role at Northwell Health
10:37:53 AM
The former head of NYC Health + Hospitals will be a community health investment officer at Northwell, assessing programs that serve vulnerable communities.


Malone resigns as Summa CEO
10:28:11 AM
Dr. Thomas Malone has resigned as president and CEO of Summa Health System, weeks after a contentious decision to not renew the contract of the independent physician group that had been staffing its emergency departments for decades.


Trump Administration Pulls Back on HealthCare.gov Ads
8:19:28 AM
The Trump administration says it is pulling back advertising to promote HealthCare.gov as open enrollment draws to a close for this year.


What ACA repeal could mean for mental health coverage
12:01:00 AM
Advocates fear the looming death of the Affordable Care Act means losing hard-fought ground on expanding access to treatment for mental illness.


Medical supplies would be hit by Trump's proposed 20% tax on Mexican imports
Thursday, January 26, 2017 3:57 PM
The Trump administration suggested a 20% tax on imports from Mexico could pay for a wall along the southern border aimed at stopping illegal immigration.


Trump's healthcare promise too sunny for reality
Thursday, January 26, 2017 3:56 PM
President Donald Trump said in a television interview that he and his party would put forward a healthcare plan that costs less, covers more people and delivers better healthcare. That trifecta, however, is nearly impossible without tradeoffs that...


Fearing Trump administration will deny them, states pull plans to cover prisoners, immigrants through Medicaid
Thursday, January 26, 2017 2:15 PM
New York officials have withdrawn a request to use Medicaid funding to cover healthcare services for prison inmates and expedite access to HIV treatment. Earlier this week, California officials chose to withdraw their waiver request to provide...


Judge orders hold on CMS rule regulating dialysis groups that subsidize premiums
Thursday, January 26, 2017 2:14 PM
A District Court judge in Texas ordered the CMS to hold off on a final rule requiring dialysis centers that help patients pay private insurance premiums to disclose what plans in their region pay for and how that compares to Medicaid and Medicare.


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Thursday, 26 January 2017

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McKesson plans to pay $1.1 billion for CoverMyMeds
Wednesday, January 25, 2017 5:45 PM
McKesson Corp.'s third quarter profit was relatively flat as it announced Wednesday that it will acquire an electronic prior authorization company.


Hospitals sprout cost-efficient urgent-care centers as demand grows
Wednesday, January 25, 2017 3:20 PM
Hospital systems are using acquisitions and joint ventures with urgent-care chains to build outpatient access points in their markets that are a lower-cost alternative to emergency rooms for minor ailments and injuries. MultiCare, Northwell and...


Providers lobby Trump, Congress to follow path away from Medicare fee-for-service
Wednesday, January 25, 2017 1:32 PM
Providers and insurers are among healthcare leaders lobbying Congress and the Trump administration to continue to push Medicare into value-based payment models that require costly technology to track quality metrics. Those investments could be lost...


House Dems introduce doomed single-payer legislation
Wednesday, January 25, 2017 1:20 PM
The idea of a Medicare-for-all health system gained traction during the Democratic presidential primary, but the legislation introduced this week has no chance of passing.


AMA, AHA form coalition to reform prior authorization requirements
Wednesday, January 25, 2017 1:09 PM
The coalition, announced Wednesday, will lobby health plans to streamline prior authorization for medical tests, procedures, devices and drugs. They say the current process is time-consuming.


VA health IT platform champion is gone, but project could survive
Wednesday, January 25, 2017 12:17 PM
Although its chief architect is gone, a potentially innovative project to overhaul the health information technology system at the Veterans Affairs Department will likely live on with the Trump administration.


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Wednesday, 25 January 2017

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Aetna jeopardized its antitrust case and the ACA by exiting some exchanges
Tuesday, January 24, 2017 3:36 PM
The judge who ruled against the Aetna-Humana deal concluded Aetna's leadership, including CEO Mark Bertolini, made good on repeated threats to curtail its participation in the ACA exchanges if the government moved to block the transaction.


Judge overturns Idaho laws banning telemedicine abortions
Tuesday, January 24, 2017 3:25 PM
A federal judge overturned two Idaho laws that banned women from receiving a medication-induced abortion via telemedicine.


Price sidesteps details for ACA replacement in confirmation hearing
Tuesday, January 24, 2017 1:54 PM
Rep. Tom Price (R-Ga.), President Donald Trump's nominee for HHS secretary, told members of the Senate Finance Committee on Tuesday that he would work with them to draft a replacement for the Affordable Care Act but dodged questions about what the...


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Tuesday, 24 January 2017

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Former Mount Sinai doctor sentenced to two years in prison for sexually abusing patients
10:34:35 AM
A prominent former New York City emergency room doctor has been sentenced to two years in prison after pleading guilty to sexually abusing four women who had been his patients.


New administration's stance on climate change caused CDC to cancel conference
Monday, January 23, 2017 6:19 PM
The Centers for Disease Control and Prevention has canceled a climate change conference scheduled next month. Organizers say the issue is not likely to gain traction under President Trump, who claims climate change is a hoax.


Amid healthcare industry jitters, GOP senators offer state-based ACA replacement plan
Monday, January 23, 2017 2:44 PM
Sens. Bill Cassidy and Susan Collins said their bill would keep many protections of the Affordable Care Act and give states control over healthcare regulations. But ACA supporters said it would increase costs to consumers and widen healthcare...


Trump rule freeze raises questions about two new privacy regulations
Monday, January 23, 2017 12:09 PM
President Donald Trump's freeze on Obama administration rules raises doubts over the future of recently issued revisions to patient consent rules on clinical research and sharing of drug and alcohol treatment records.


Aetna faces slim chance of winning appeal of decision to block Humana merger
Monday, January 23, 2017 11:54 AM
Aetna and Humana could appeal the court's decision, which would allow the $37 billion merger a chance to close in what some expect will be a more lenient antitrust environment under President Donald Trump's administration. But some experts say Trump...


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Monday, 23 January 2017

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Cleveland Clinic's holistic center is on rapid ascent
10:31:21 AM
The Center for Functional Medicine, which the Clinic has said is the first of its kind at an academic medical center, focuses on a holistic treatment of the root causes of health problems.


Trump's ACA executive order heightens insurance market jitters
Sunday, January 22, 2017 3:08 PM
President Donald Trump's executive order Friday instructing federal agencies to go as far as they can legally to roll back the Affordable Care Act buys time for Congress to come up with a replacement plan but it could disrupt the insurance markets.


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Saturday, 21 January 2017

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Trump signs executive order as first strike at Affordable Care Act
Friday, January 20, 2017 10:10 PM
In an opening salvo against the ACA, President Donald Trump signed an executive order that aims squarely at the undoing the healthcare law's unpopular requirement that individuals carry insurance or face fines.


Auvi-Q will be for commercially insured Americans, but what will insurers pay?
Friday, January 20, 2017 12:29 PM
A notable brand name competitor to the EpiPen will be available for purchase in early February, with a pricing strategy that's great for patients but may upset insurers.


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Friday, 20 January 2017

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GOP governors who turned down Medicaid money have hands out
Thursday, January 19, 2017 6:30 PM
Republican governors who turned down billions in federal dollars from an expansion of Medicaid under the Affordable Care Act now have their hands out in hopes the GOP comes up with a new formula to provide insurance for low-income Americans.


Mullany's departure from DMC linked to resistance to further cost-cutting
Thursday, January 19, 2017 2:51 PM
Joe Mullany was replaced this week as CEO of Detroit Medical Center partly because he refused to lay off more employees the past two years.


Schuchat to become acting CDC director
Thursday, January 19, 2017 2:14 PM
Dr. Anne Schuchat, principal deputy director for the Centers for Disease Control and Prevention, will take over as acting head of the agency on Friday.


Company that Trump HHS pick invested in faced criminal fine
Thursday, January 19, 2017 12:54 PM
Zimmer Biomet, a medical device company in which Rep. Tom Price purchased stock last year, has faced years of legal problems and agreed in December to a $17 million Justice Department criminal penalty in a foreign bribery case.


Mallinckrodt will pay $100 million to settle drug monopoly allegations
Thursday, January 19, 2017 12:08 PM
Irish drugmaker Mallinckrodt and its U.S. subsidiary will pay $100 million to settle allegations it illegally hindered competition for a drug used to treat a rare seizure disorder in infants and then significantly raised the price of its product.


Physicians may not like the final Medicare coverage decision on leadless pacemakers
Thursday, January 19, 2017 11:08 AM
In a final decision on coverage for leadless pacemakers, the CMS met physicians halfway, not giving them unconditional coverage, but certainly expanding what Medicare will pay for.


Safety net hospital performance varies widely, analysis shows
Thursday, January 19, 2017 11:06 AM
The findings of the analysis, conducted for Modern Healthcare by MPA Healthcare Solutions, undermines the argument by safety net hospitals that they are automatically disadvantaged in providing quality care.


Researchers, privacy experts clash on new human research rule
Thursday, January 19, 2017 11:04 AM
In federal rulemaking, differences of opinion are to be expected. But when you start to debate whether now's the time to tighten privacy restrictions over genetic material, those differences create a chasm.


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