Friday, 31 March 2017

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SSM Health's results sink on St. Louis hospital acquisition
Thursday, March 30, 2017 5:39 PM
SSM Health's acquisition of Saint Louis University Hospital in late 2015 contributed to a huge decline in the hospital chain's operating income last year.


CMS delays rule that would cut lab payments by nearly $4 billion
Thursday, March 30, 2017 4:04 PM
The CMS is delaying a rule that would result in clinical labs losing $3.93 billion in Medicare payments over 10 years.


Senate GOP needed Pence to break tie on family planning funds
Thursday, March 30, 2017 2:48 PM
Senate Republicans on Thursday needed Vice President Mike Pence to break a tie on legislation to reverse an Obama administration rule protecting funds for Planned Parenthood and other family planning providers.


A patient and a provider explain why Kansas should expand Medicaid
Thursday, March 30, 2017 2:16 PM
Kansas lawmakers are considering whether to override Gov. Sam Brownback's veto of their Medicaid expansion bill. Patients and providers say lots of uninsured working people would benefit by gaining better access to preventive care.


Blue Cross and Blue Shield fund invests in Ferro healthcare creation Higi
Thursday, March 30, 2017 12:38 PM
Higi, a healthcare company launched by Tronc Chairman Michael Ferro, has received an undisclosed investment from Blue Cross and Blue Shield's venture fund, according to a statement on the company's website.


GOP 'dead zone' bill may worsen insurers' marketplace exodus
Thursday, March 30, 2017 12:36 PM
A U.S. Senate bill meant to provide more insurance options for individuals living in markets with no HealthCare.gov plans could exacerbate the problem by taking away both participation incentives and money from insurers.


California proposes bill to regulate dialysis clinics
Thursday, March 30, 2017 12:35 PM
Dialysis providers claim a proposed California law that would mandate staffing ratios and yearly inspections at dialysis clinics is too restrictive and won't improve patient care.


Iowa requests CMS pay up to $225 million for Medicaid managed-care losses
Thursday, March 30, 2017 12:31 PM
Iowa's controversial move to privatize its Medicaid program has cost participating insurers an estimated $450 million in losses.


Trump opioid commission leaves out key stakeholder
Thursday, March 30, 2017 12:29 PM
Experts keeping their eyes on ways to curb the number of overdoses in the U.S. say there's one very important person missing in President Donald Trump's commission -- the nominee for top federal regulator of prescription drugs.


Summa Health's emergency residency program appeal denied
Thursday, March 30, 2017 11:17 AM
Summa Health's emergency medicine residency program will lose its accreditation after the system's appeal was denied, according to a March 29 staff memo.


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Thursday, 30 March 2017

Modern Healthcare Breaking News

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Summa Health's emergency residency program appeal denied
11:17:42 AM
Summa Health's emergency medicine residency program will lose its accreditation after the system's appeal was denied, according to a March 29 staff memo.


Greenville (S.C.) Memorial risks Medicare termination over ER death
Wednesday, March 29, 2017 7:46 PM
Greenville (S.C.) Memorial Hospital risks losing Medicare and Medicaid contracts worth about $500 million every year if it fails to improve processes in its emergency room where a patient died earlier this month.


FHIR update addresses workflow
Wednesday, March 29, 2017 2:20 PM
Fast Healthcare Interoperability Resources, the 3-year-old data exchange framework, has been updated to enhance clinical decisions and quality measures.


LabCorp hospitals chief promoted to lead diagnostic segment
Wednesday, March 29, 2017 1:56 PM
The head of Laboratory Corporation of America Holdings' hospitals and health systems group will now lead the company's entire diagnostics segment.


LifeSource Health signs agreements for EMTs to access health information
Wednesday, March 29, 2017 12:01 PM
LifeSource Health signed agreements in Ohio to give emergency medical technicians access to a patient's health information during an emergency run, according to a news release.


Democrats ask for federal investigation of HHS Secretary Price over stock deals
Wednesday, March 29, 2017 11:57 AM
Democratic senators sent a letter Wednesday asking U.S. Attorney General Jeff Sessions to continue to investigate HHS Secretary Dr. Tom Price's trade deals.


Lawmakers warn Trump's HHS budget cuts put lives at risk
Wednesday, March 29, 2017 11:55 AM
Patient lives could be at risk if President Donald Trump's proposed cuts to the HHS become a reality, a bipartisan group of lawmakers told HHS Secretary Tom Price Wednesday.


Allina starts to see the light after a bad 2016
Wednesday, March 29, 2017 11:53 AM
Thirteen-hospital Allina Health System is launching a health plan with Aetna and preparing to sell $231.2 million in bonds as it forges past 2016. Nurses went on two separate strikes at its Minneapolis-area hospitals and cost Allina $135.6 million...


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Wednesday, 29 March 2017

Modern Healthcare Breaking News

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Ryan says House to revisit healthcare, offers no details
8:39:09 AM
Speaker Paul Ryan said Tuesday he's going to give battered House Republicans another crack at a healthcare overhaul. But he offered no timeline, and leaders haven't resolved how to overcome the deep GOP divisions that crumpled their legislation last...


Feds join second Medicare Advantage fraud lawsuit against UnitedHealth
Tuesday, March 28, 2017 4:50 PM
The U.S. Justice Department has joined another whistle-blower lawsuit against UnitedHealth Group that alleges the insurer fraudulently billed the Medicare program by claiming patients were sicker than they were.


Feel like the hospital is shaking you down over that bill? It probably is.
Tuesday, March 28, 2017 1:50 PM
Even as the number of Americans without health insurance is at a record low, Chicago hospitals are wrestling with a metastasizing problem: bad debt.


White House proposes medical research cuts to pay for border wall
Tuesday, March 28, 2017 12:27 PM
The White House is calling for immediate budget cuts of $18 billion from programs such as medical research, infrastructure and community development grants to help pay for the border wall that President Donald Trump repeatedly promised would be...


Kansas Medicaid expansion looks iffy as bill goes to GOP governor
Tuesday, March 28, 2017 12:13 PM
The fate of the legislation is now in the hands of Kansas Republican Gov. Sam Brownback, who previously signaled he would veto the bill.


Public health experts sound alarms over Trump's executive order on climate change
Tuesday, March 28, 2017 12:12 PM
President Donald Trump's executive order to roll back Obama-era rules to address climate change will set back public health initiatives, environmental advocates said Tuesday.


Insurance losses nick Banner Health in 2016
Tuesday, March 28, 2017 12:05 PM
Banner Health posted healthy income gains in 2016 despite a $153.8 million operating loss in its insurance operations.


Facing closure, community health centers urge Congress to continue funding
Tuesday, March 28, 2017 12:02 PM
The National Coalition on Health Care -- a group of unions, health funds, providers and other organizations -- on Tuesday urged lawmakers to renew federal funding so community health centers aren't forced to close.


Could Trump's top DOJ antitrust pick help seal the Anthem-Cigna deal?
Tuesday, March 28, 2017 12:00 PM
The nod to former lobbyist Makan Delrahim could be a boon for the Anthem-Cigna merger, which was blocked by a U.S. District Court judge for threatening to harm competition in the national employer market.


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Tuesday, 28 March 2017

Modern Healthcare Breaking News

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AMGA President and CEO Fisher dies
Monday, March 27, 2017 5:12 PM
Donald Fisher, longtime president and CEO of AMGA, formerly the American Medical Group Association, died Sunday from cancer. He was 71.


Investment income rescues Inova Health from big 2016 operating decline
Monday, March 27, 2017 4:49 PM
A $265 million investment gain in 2016 offset lower operating income at five-hospital Inova Health System. Higher costs for employed physicians and failure to land a Virginia Medicaid contract hit the system's 2016 operating income.


Advisory Board considers merging with Evolent Health
Monday, March 27, 2017 3:48 PM
The troubled Advisory Board Co. is weighing a merger with Evolent Health, a technology firm in which it currently invests.


Blue Cross CEO Dan Loepp, company PAC push Duggan re-election
Monday, March 27, 2017 3:41 PM
At a company meeting this month at the MotorCity Casino, CEO Dan Loepp of Blue Cross and Blue Shield of Michigan asked more than 1,000 Blue Cross employees to donate to and otherwise support the re-election of Detroit Mayor Mike Duggan.


Detroit Medical Center submits corrective action plan on sterile surgical problems
Monday, March 27, 2017 3:28 PM
Detroit Medical Center has received federal approval for a corrective action plan in response to a surprise inspection in January in which Medicare hospital quality inspectors found numerous violations of federal infection control and patient safety...


Faith-based providers likely to keep pension regulation exemptions
Monday, March 27, 2017 12:29 PM
The U.S. Supreme Court on Monday appeared skeptical of arguments that faith-based health systems should be subject to federal pension plan regulations.


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Saturday, 25 March 2017

Modern Healthcare Breaking News

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HHS inspector general is investigating pullback on HealthCare.gov ads
Friday, March 24, 2017 5:41 PM
The Trump administration pulled ads and emails meant to encourage people to sign up for marketplace coverage in the final week of open enrollment that ended Jan. 31.


Judge pares Express Scripts claims in Anthem drug pricing battle
Friday, March 24, 2017 2:57 PM
A federal judge has dismissed two counterclaims by Express Scripts Holding Co. in a multibillion dollar lawsuit brought on by insurer Anthem over its drug charging policies.


GOP bill's death spares insurers from last-minute benefit changes
Friday, March 24, 2017 2:00 PM
Before the House Republican bill to replace the Affordable Care Act died Friday, insurers and regulators were fretting about a major, last-minute change in the bill requiring states to determine what benefits must be offered in fully insured health...


New HHS' Office for Civil Rights director opposes abortion, transgender discrimination protections
Friday, March 24, 2017 12:38 PM
The Trump administration has appointed Roger Severino, a former staffer at conservative think tank the Heritage Foundation, to head the HHS' Office for Civil Rights.


Federal duals demo is improving care, CMS audit finds
Friday, March 24, 2017 12:37 PM
Low income disabled patients say their care has improved under a federal experiment that allows states test ways to better manage benefits and care for people dually eligible for Medicare and Medicaid, according to a federal audit.


Hospital stocks rally as ACA replacement fails
Friday, March 24, 2017 12:33 PM
Hospital stocks enjoyed a banner day on Wall Street Friday as House Speaker Paul Ryan pulled a GOP replacement for the Affordable Care Act just minutes before a scheduled afternoon House vote on the legislation.


GOP Obamacare repeal dies as House pulls American Health Care Act bill
Friday, March 24, 2017 12:32 PM
House Speaker Paul Ryan on Friday withdrew the much-maligned bill to replace the Affordable Care Act from the floor Friday as Republican dissent swelled.


Jay Grinney retires from HealthSouth with $11.7M severance, two fishing rods
Friday, March 24, 2017 12:24 PM
Jay Grinney, the long-time CEO of HealthSouth who retired at year-end, is slated to receive two fishing rods and an $11.7 million package for his service, in addition to $7.3 million in total compensation for 2016,


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Friday, 24 March 2017

Modern Healthcare Breaking News

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New CBO score could further sink revised Obamacare repeal bill
Thursday, March 23, 2017 7:36 PM
The amended version of the House Republican bill to replace the Affordable Care Act would achieve less than half the budgetary savings of the original bill over a decade, with the same coverage losses as the original.


House reschedules ACA repeal vote as support dwindles
Thursday, March 23, 2017 5:00 PM
Despite falling short of rounding up enough GOP votes to pass a bill in their race to repeal and replace the Affordable Care Act, the U.S. House of Representatives will still hold a vote on the beleaguered bill on Friday at President Donald Trump's...


N.Y. attorney general nets penalties from health apps for misleading consumers
Thursday, March 23, 2017 1:53 PM
Three popular health-related mobile apps have reached settlements with the New York Attorney General's office over allegations of misleading marketing claims and irresponsible privacy practices.


Illinois to preserve tax exemption for not-for-profit hospitals
Thursday, March 23, 2017 12:02 PM
The Illinois Supreme Court ruled Thursday to uphold a state law that exempts not-for-profit hospitals from paying property taxes.


Baptist Health CEO abruptly resigns
Thursday, March 23, 2017 11:49 AM
Baptist Health's CEO Steve Hanson resigned this week after three years at the helm of the Louisville, Ky.-based system. No reason was given for his departure.


CMS seeks to attract more patients, docs to ACOs
Thursday, March 23, 2017 11:45 AM
The CMS is trying to boost patients and provider participation in accountable care organizations by automating the process to pair patients with doctors participating in the care models.


Cherry-picking patients may be business as usual for not-for-profits like Mayo
Thursday, March 23, 2017 11:43 AM
Not-for-profit hospitals operate in a system that expects them to provide benefits to the community, without necessarily requiring it.


NYU Langone's $32.9M Lower East Side outpatient center is closer to reality
Thursday, March 23, 2017 11:00 AM
The health system is now seeking approval from the state Department of Health to build a $32.9 million ambulatory surgery center at 175 Delancey St, the Essex Crossing mixed-use development.


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Thursday, 23 March 2017

Modern Healthcare Breaking News

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NYU Langone's $32.9M Lower East Side outpatient center is closer to reality
11:00:28 AM
The health system is now seeking approval from the state Department of Health to build a $32.9 million ambulatory surgery center at 175 Delancey St, the Essex Crossing mixed-use development.


CHI hit with Moody's debt downgrade
1:01:00 AM
Moody's Investors Service downgraded the debt of Catholic Health Initiatives this week to two notches above junk, following a similar downgrade earlier this month by S&P Global Ratings.


GOP eyes eliminating benefit mandates in late scramble to pass ACA repeal
12:57:56 AM
The White House and House ultra-conservatives reportedly were negotiating Wednesday night to repeal the Affordable Care Act's insurance benefit rules in a last-minute effort to salvage the House Republicans' ACA replacement bill.


Former MedAssets CEO John Bardis appointed to HHS post
Wednesday, March 22, 2017 8:02 PM
Bardis founded MedAssets in 1999 and grew it into one of the largest healthcare group purchasing organizations.


AMA urges Congress to vote no on amended ACA repeal bill
Wednesday, March 22, 2017 3:53 PM
The American Medical Association called on Congress to vote down the amended American Health Care Act, claiming millions will lose coverage if it becomes law.


Cleveland Clinic's financial results worse than predicted
Wednesday, March 22, 2017 2:58 PM
Cleveland Clinic ended 2016 with a steeper decline in operating income than even CEO Dr. Toby Cosgrove had projected. The 14-hospital system posted a 71% drop in 2016 to $139.4 million from the $480.2 million reported in 2015.


Guest Commentary: Benefits first, then cost considerations -- getting ACA reform right
Wednesday, March 22, 2017 1:43 PM
Discussions about repealing and replacing the Affordable Care Act point to its shortcomings and how a new program will be better. However, the current process is repeating a fundamental error in crafting the ACA -- it was implemented backwards.


GAO to investigate possible manipulation of orphan drug incentives
Wednesday, March 22, 2017 1:08 PM
Federal auditors are looking into whether the Orphan Drug Act still serves its intended purpose and whether drugmakers may be abusing its incentives to maximize profits.


CMS needs to alert docs as it overhauls Medicare ID cards
Wednesday, March 22, 2017 11:41 AM
As the CMS works to remove Social Security numbers from millions of Medicare ID cards, providers are calling on the agency to increase physician outreach efforts to alert them how billing under the program may change.


Mental health agencies say they've saved state billions under Medicaid
Wednesday, March 22, 2017 11:24 AM
A new report by advocates for Michigan's public Medicaid behavioral health system estimates it has saved the state $5.3 billion over the past 18 years, and would save an additional $7.4 billion through 2024 using their patient-centered and...


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Wednesday, 22 March 2017

Modern Healthcare Breaking News

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GOP governors offer alternative Medicaid reforms, but who's listening?
Tuesday, March 21, 2017 4:38 PM
It's unclear whether congressional leaders will fully consider the alternative Medicaid reform plan proposed by four Republican governors from expansion states, especially given that they want the House to vote on the GOP bill later this week and...


Ascension to sell Idaho hospital to RCCH Healthcare Partners
Tuesday, March 21, 2017 12:11 PM
Ascension will sell St. Joseph Regional Medical Center in Lewiston, Idaho, to for-profit hospital chain RCCH Healthcare Partners.


Former Louisiana Rep. John Fleming heads to HHS
Tuesday, March 21, 2017 12:07 PM
Fleming will serve as deputy assistant secretary for health technology at HHS.


Provider-sponsored insurance plans owed big risk-corridor payments
Tuesday, March 21, 2017 11:58 AM
Sanford Health sued the U.S. government to recoup unpaid payments under the ACA's risk-corridor program, but it's looking less and less likely that the feds will ever pay up.


Gorsuch refuses to promise to overturn Roe v. Wade
Tuesday, March 21, 2017 11:57 AM
When Judge Neil Gorsuch interviewed to be appointed to the U.S. Supreme Court, he was never asked to promise he would overturn abortion rights protection under Roe v. Wade, the prospective justice said Tuesday.


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