Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Two insurers pay $31 million in Medicare Advantage fraud settlement Tuesday, May 30, 2017 11:07 PM The two managed care providers allegedly submitted false claims to the CMS from 2008 to 2013 in order to inflate reimbursement dollars for some of its Medicare Advantage plans. CHS agrees to sell 5 more hospitals in Pennsylvania Tuesday, May 30, 2017 6:00 PM Struggling Community Health Systems has agreed to sell five hospitals in Pennsylvania to the not-for-profit Reading Health System. UCHealth builds hospitals as Denver's population booms Tuesday, May 30, 2017 5:00 PM UCHealth is building five community hospitals as part of its major expansion plan in response to rapid population growth in Colorado. Medicare to cover supervised exercise for heart disease Tuesday, May 30, 2017 3:00 PM Following a request from cardiologists, the CMS will now offer national Medicare coverage of supervised exercise therapy for treating peripheral artery disease. GOP senators gloomy about repeal prospects, but watch out for House repeat Tuesday, May 30, 2017 1:00 PM The seeming impasse among Senate Republicans in reaching agreement on how to repeal and replace the Affordable Care Act feels like déjà vu all over again.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Wayne State, Henry Ford Health discuss combining physician groups Monday, May 29, 2017 11:31 PM Wayne State University and its medical affiliates are talking about a potential business deal with Henry Ford Health System. FDA designation 'really big deal' for Athersys Monday, May 29, 2017 11:23 PM The U.S. Food & Drug Administration awarded Athersys's clinical program for stroke 'Fast Track Designation,' an expedited drug development and review program for new drugs or biologics to treat serious or life-threatening conditions.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare The forgotten track: Medicare ACOs qualify for third MACRA option Friday, May 26, 2017 4:00 PM When the CMS implemented MACRA last fall, physicians focused their attention on two payment tracks. But another option is available that experts say will benefit physicians and ACOs even more. Sodium bicarbonate shortage puts surgeries on hold Friday, May 26, 2017 4:00 PM The country's only two suppliers have nearly run out of a widely used drug, and most homes have its basic ingredient in their kitchen cabinet—baking soda. The shortage has forced providers to delay surgeries and shift operations as they... Direct Relief and Pfizer donate 1 million doses of naloxone to health providers Friday, May 26, 2017 3:00 PM California-based charitable medicine program Direct Relief has partnered with pharmaceutical giant Pfizer to donate up to 1 million doses of the drug overdose-reversal drug naloxone to free health clinics, community health centers, public health... Health plan turbulence leads Texas Children's to rare operating loss Friday, May 26, 2017 3:00 PM Texas Children's Hospital in Houston is the latest not-for-profit hospital system to struggle with its health plan, which posted a $28.9 million operating loss in the system's fiscal second quarter. 5 health IT reactions to the proposed HHS budget cuts Friday, May 26, 2017 1:00 PM President Donald Trump's proposed $4 trillion budget for next year calls for a $15.1 billion reduction for HHS, an approximately 18% spending cut. Those cuts will reverberate across the health IT sector.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Providers ask: How much pain will per capita caps in Medicaid bring? Thursday, May 25, 2017 6:00 PM The end of Medicaid as an entitlement program is coming, providers and political observers say. Now the question is how much will the federal government seek to reduce its spending on the insurance program that covers 70 million people—and... Nomad Health brings its digital staffing platform to Texas and California Thursday, May 25, 2017 5:00 PM The startup hopes its web-based platform will connect physicians with hospitals looking for staff and address the growing doctor shortage in the U.S. AHIP urges Senate to stabilize individual market and adequately fund Medicaid Thursday, May 25, 2017 5:00 PM AHIP President Marilyn Tavenner reiterated health insurers' need for certainty on the future of the individual market as they determine their 2018 rates. The federal deadline to submit those rates is less than a month away. Addiction experts question FDA's suggestion to cap opioid prescriptions Thursday, May 25, 2017 5:00 PM FDA Commissioner Scott Gottlieb has suggested that limiting painkiller prescriptions could be a key tool to battle the opioid addiction crisis gripping the nation. Addiction experts say doctors should have the final say on when and how long the... Cleveland Clinic to bring Dover hospital into system Thursday, May 25, 2017 4:39 PM Cleveland Clinic plans to bring Dover-based Union Hospital into the system, in a move that stretches its Northeast Ohio geographical footprint farther south. Trumpcare may benefit this N.Y. entrepreneur Thursday, May 25, 2017 4:29 PM While hospitals, health centers and unions have panned House Republicans' healthcare plan, one New York City entrepreneur stands to benefit from the American Health Care Act. 10 ways the House healthcare bill cuts federal revenue Thursday, May 25, 2017 2:00 PM The American Health Care Act would slash federal revenue by $662.6 billion from 2017 through 2026, according to Congress' nonpartisan Joint Committee on Taxation. VA plans mental care for discharged vets, but at what cost? Thursday, May 25, 2017 1:50 PM Veterans Affairs Secretary David Shulkin touted new efforts Wednesday to expand urgent mental health care to thousands of former service members with less-than-honorable discharges, even while acknowledging his department isn't seeking additional... Indiana adds Medicaid work requirement to waiver request Thursday, May 25, 2017 1:00 PM Indiana has become the latest state to seek to add a work requirement to Medicaid eligibility. It's one of six states that are planning to ask or have asked the Trump administration for this waiver.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare 15 quick facts from CBO report on Obamacare repeal bill Wednesday, May 24, 2017 7:00 PM The top things to know about the CBO's report on the American Health Care Act. Hospitals worry about the 23 million that would lose coverage under AHCA Wednesday, May 24, 2017 6:00 PM That number would jump to a total of 51 million uninsured by 2026, according to the Congressional Budget Office's analysis of the House's version of the Affordable Care Act repeal-and-replace bill. Providers want Trump to stay out of tort reform Wednesday, May 24, 2017 6:00 PM President Donald Trump's tort reform proposal is being met with skepticism by providers who are criticizing the effort as a broken promise for state flexibility. Prime Healthcare adds another hospital to its south Texas hub Wednesday, May 24, 2017 5:02 PM An affiliate of for-profit Prime Healthcare has agreed to buy 297-bed Mission Regional Medical Center to expand its reach in southern Texas. Prime owns two other community hospitals in the Rio Grande Valley, giving it a hub along Texas' border with... Insurance premiums have doubled since 2013, but policies are more generous Wednesday, May 24, 2017 5:00 PM An HHS report released late Tuesday paints a grim picture of the rising health insurance premiums under the Affordable Care Act. But health policy experts explained that while premiums may have gone up since the ACA was implemented, consumers are... Capping Medicaid spending may prove harder than it sounds for Senate Republicans Wednesday, May 24, 2017 4:00 PM Designing a capped Medicaid contribution model that's fair to different states and maintains adequate coverage is daunting because state spending growth varies based on several factors. CDC and states lack resources to combat Zika Wednesday, May 24, 2017 4:00 PM Agencies responsible for running tests to identify Zika don't have the right equipment to do so and there aren't enough coordinated efforts to control the mosquito population, according to a new federal analysis released Tuesday. U of C receives $100 million donation for new wellness institute Wednesday, May 24, 2017 2:05 PM Chicago investor Craig Duchossois, his wife, Janet, and his family foundation have donated $100 million to University of Chicago Medicine to establish a center focused on developing the science of wellness. Futurists discuss bionic, regenerative medicine at HealthQuake Summit in Detroit Wednesday, May 24, 2017 1:00 PM An invited group of 30 physicians, executives, medical researchers, lawyers and the media gathered Monday at the HealthQuake Summit in Detroit to talk about the future of medicine.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Trump budget targets rural hospitals, minority health professional education ​ Tuesday, May 23, 2017 6:00 PM Proposed cuts in President Donald Trump's 2018 budget for HHS would reduce funding for rural hospitals and hurt the supply pipeline for black and Hispanic healthcare professionals. Trump budget slashes public health programs Tuesday, May 23, 2017 6:00 PM Public health officials caution that President Donald Trump's most recent budget proposal would leave the nation vulnerable to disease outbreaks or unable to adequately respond to emergencies for years. State Medicaid directors expect little change under Trump Tuesday, May 23, 2017 5:00 PM Despite promises from the Trump administration to restructure Medicaid and reduce funding by hundreds of billions of dollars, state Medicaid directors say it's unlikely there will be major changes to the program due to infighting among federal... SSM and Texas Health hang hopes on growth plans Tuesday, May 23, 2017 4:00 PM SSM Health is launching a financial improvement plan and Texas Health Resources is promoting a new hospital and insurance joint venture as first-quarter operating income falls at each. Healthcare CEOs have zipped their lips on AHCA politics Tuesday, May 23, 2017 4:00 PM Healthcare CEOs are hiding behind industry lobbying groups instead of publicly using their power to push for changes in the Republicans' healthcare reform bill. Indiana Medicaid Director Moser steps down Tuesday, May 23, 2017 3:00 PM Joe Moser, a key architect of Indiana's alternative Medicaid expansion program, has stepped down as the state's Medicaid director. Since his appointment in 2013, he oversaw the care of more than 1.5 million Medicaid and CHIP enrollees.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare $400 billion price tag for California single-payer bill 8:53:33 AM A California bill that would eliminate health insurance companies and provide government-funded health coverage for everyone in the state would cost $400 billion and require significant tax increases, legislative analysts said Monday. Trump budget would cut $636 billion from HHS agencies 12:16:30 AM The Trump administration is proposing a $636 billion cut in federal funding for CMS programs over the next decade. Who wins and who loses in Trump's draft budget Monday, May 22, 2017 5:00 PM President Donald Trump is expected to propose cutting more than $800 billion from Medicaid over 10 years. The cuts are likely to ruffle some feathers. Disease-awareness ads lead to overdiagnosis, boost Rx sales Monday, May 22, 2017 4:00 PM More oversight of disease awareness promotions could curb wasteful diagnostic testing, overdiagnosis and inappropriate therapy, researchers said. CHI hopes cutting Louisville hospitals will further boost earnings Monday, May 22, 2017 4:00 PM Catholic Health Initiatives halved its operating losses to $40.1 million in the third quarter of fiscal 2017, and looks to cut those losses even further by divesting its money-losing Louisville hospitals. CHS rejects $2.4 billion buyout of its Fort Wayne hospitals Monday, May 22, 2017 3:00 PM Community Health Systems has rejected a $2.4 billion buyout offer for its eight Fort Wayne, Ind., hospitals, saying Monday the proposal by physicians and private-equity players came in at least $1 billion lower than what it was worth. Trump administration seeks another delay in CSR lawsuit Monday, May 22, 2017 12:00 PM The fate of cost-sharing reductions remains undecided as the administration neither drops its appeal or presses it forward. MetroHealth making smaller hospitals a focus Monday, May 22, 2017 11:54 AM MetroHealth's 12- and 16-bed hospitals coming online next year will join the ranks of a series of other so-called "micro-hospitals" popping up around the country.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Chicago startup snares $65M to combat drug-resistant superbugs 11:37:39 AM Chicago-based Iterum Therapeutics has raised $65 million in an oversubscribed funding round to develop an oral and intravenous antibiotic to treat drug-resistant infections that spread in hospitals. Trump budget proposal would slash Medicaid Sunday, May 21, 2017 10:15 PM President Donald Trump's budget proposal to be presented Tuesday reflects the same $800 billion cut to Medicaid that was the House's repeal and replace bill. The Congressional Budget Office estimates that could lead to 10 million people losing...

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Foreign​ ventures​ help​ academic​ systems​ boost​ brand,​ revenue 1:01:00 AM Big academic medical centers have found partnerships overseas allow them to enhance their brand awareness and provide an added source of revenue. Would CHS sell its 'crown jewel' hospitals in Fort Wayne? Friday, May 19, 2017 6:03 PM The face of Community Health Systems would change dramatically if the hospital giant accepted a physician-led buyout offer for its eight hospitals in Fort Wayne, Ind. The eight hospitals that comprise the Lutheran Health Network generate 15% to 20%... DOJ's Medicare Advantage lawsuits, investigations likely to change insurance culture Friday, May 19, 2017 6:00 PM The Department of Justice's increased focus on investigating alleged fraud in the Medicare Advantage program is likely to change the way insurers do business, according to lawyers who specialize in False Claims Act suits. CMS selects four new markets for primary-care payment initiative Friday, May 19, 2017 4:40 PM The CMS is doing a more limited expansion than anticipated of a primary care model that pays practices a monthly fee to manage care for patients. Steward Health Care plans to acquire Iasis Healthcare Friday, May 19, 2017 4:00 PM The combined 36-hospital Steward and Iasis health system would have an estimated revenue of $8 billion and nearly 7,500 patient beds across 10 states with approximately 38,000 employees. Mercy pays $34 million to settle Medicare fraud, physician compensation claims Friday, May 19, 2017 3:55 PM Two Mercy hospitals have agreed to pay $34 million to settle claims that they fraudulently billed Medicare due to improper physician compensation practices. Texas Senate loosens virtual care requirements Friday, May 19, 2017 1:30 PM The Texas legislature has sent a bill to the governor's desk that will end a long-running battle over the state's telemedicine requirements and open the door for broader virtual care. Activist hedge fund takes a 9.2% stake in Athenahealth Friday, May 19, 2017 1:19 PM Elliott Management bought shares in the company earlier this month, just a week after the company announced disappointing first-quarter financial results. Brinkley resigns as CEO of KentuckyOne Friday, May 19, 2017 1:00 PM Ruth Brinkley has resigned as CEO of KentuckyOne Health one week after the struggling health system announced that it is selling its Louisville hospitals to focus on other markets. Long-time Louisville hospital administrator Chuck Neumann will...

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