Friday, 30 June 2017

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Trump nominates Indiana health commissioner to be U.S. surgeon general
11:43:59 AM
President Donald Trump nominated Dr. Jerome Adams, the health commissioner of Indiana since 2014, to serve as the 20th U.S. surgeon general. Adams garnered national attention for his handling of an HIV outbreak in a rural Indiana county.


Would Senate bill's extra payments to non-expansion states offset overall Medicaid cuts? Hospital groups say no way
Thursday, June 29, 2017 5:00 PM
Hospital leaders in non-expansion states say they would welcome additional money because the current Medicaid funding formula is inequitable. But they say the Senate bill's provisions would not come close to offsetting its large Medicaid cuts.


House passes bill to cap some malpractice damages
Thursday, June 29, 2017 5:00 PM
The U.S. House of Representatives passed a bill Wednesday to limit non-economic damages in medical malpractice cases and impose new deadlines to file such cases.


Hospital executives lobby senators who could swing the vote on ACA repeal
Thursday, June 29, 2017 5:00 PM
Some hospital executives in states with senators critical to passing a healthcare reform bill have made their opposition to the legislation known and they're keeping a laser focus on Medicaid expansion.


Federal Medicaid spending to fall 35% in two decades under Senate healthcare bill
Thursday, June 29, 2017 5:00 PM
The new Congressional Budget Office findings may make it more difficult for GOP leadership to line up moderate votes to pass the bill. The long-term funding drop, 35% over two decades, means Senate Republicans may have to scrap the bill's proposed...


Christus and Ochsner join forces in western Louisiana
Thursday, June 29, 2017 5:00 PM
Christus Health and Ochsner Health System have agreed to create a joint venture to operate hospitals and physician practices in Lake Charles, La., near the Texas border.


GOP adds opioid money to health bill, but its fate remains in doubt
Thursday, June 29, 2017 12:00 PM
Top Republicans have agreed to add $45 billion for battling opioid abuse to their struggling healthcare bill, but the measure's fate remained uncertain Thursday as leaders confront an expanding chorus of GOP detractors.


Pacific Alliance Medical Center to pay $42M over alleged kickback scheme
Thursday, June 29, 2017 12:00 PM
Owners of the Pacific Alliance Medical Center in Los Angeles agreed to pay $42 million to settle allegations that they violated the False Claims Act by providing kickbacks to referring physicians.


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Thursday, 29 June 2017

Modern Healthcare Breaking News

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As opioid use disorder diagnoses skyrocket nearly 500%, treatment falls behind
11:27:02 AM
A Blue Cross and Blue Shield Association report found that the number of members diagnosed with opioid use disorder has spiked 493% in recent years, but treatment for those members lags.


Walgreens ends yearslong attempt to buy Rite Aid
9:05:00 AM
Walgreens has ended its takeover pursuit of rival Rite Aid following resistance from U.S. regulators and will instead now buy stores, distribution centers and inventory in a new deal.


Hospitals struggle with the high-deductible dilemma
Wednesday, June 28, 2017 5:00 PM
Losses from self-pay patients have hospitals scrambling to better manage patient registration and bill collections.


Memorial Hermann to cut 350 positions
Wednesday, June 28, 2017 3:00 PM
Houston-based health system Memorial Hermann will cut 350 jobs, the organization announced Wednesday, citing escalating costs, declining reimbursements and a softened local economy.


Six months into MACRA rollout, docs are still unprepared
Wednesday, June 28, 2017 3:00 PM
The majority of medical practice leaders still are not ready to comply with the Medicare Access and CHIP Reauthorization Act, more than halfway through the first year of its rollout, according to a survey.


Senate healthcare bill will hurt individual market in the long run
Wednesday, June 28, 2017 3:00 PM
Senate Republicans' ACA repeal-and-replace bill could prop up the individual market in the short-term, but enrollment will eventually drop off without an individual mandate, according to a report by ratings agency S&P Global.


CHI St. Luke's Health CEO Covert to step down in August
Wednesday, June 28, 2017 2:00 PM
CHI St. Luke's Health CEO Michael Covert has submitted his resignation and will step down on Aug. 31, the Houston-based organization announced Tuesday.


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Wednesday, 28 June 2017

Modern Healthcare Breaking News

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Providers ramp up pressure to scuttle Senate repeal bill
Tuesday, June 27, 2017 5:00 PM
Healthcare industry groups opposed to Senate Republicans' Obamacare replacement bill plan to step up their lobbying of GOP senators now that Majority Leader Mitch McConnell has delayed a vote until after the July 4 recess.


Trump administration retreat from pay models worries some
Tuesday, June 27, 2017 5:00 PM
Industry observers worry that the Trump administration's pullback from some alternative payment models could stall Medicare's march to value-based care.


Merck hit by new global ransomware attack
Tuesday, June 27, 2017 4:00 PM
The drugmaker is the first U.S. company reporting that it's been hit by a new variety of ransomware dubbed NotPetya.


FDA combats high drug prices by expediting review of generics
Tuesday, June 27, 2017 3:00 PM
The Food and Drug Administration took steps Tuesday to try to curb drug prices by increasing competition in the pharmaceutical market. The agency published a list of off-patent branded drugs without approved generics and will expedite review of...


Lifting restrictions on physician-owned hospitals could be key to widening access to care
Tuesday, June 27, 2017 3:00 PM
As the CMS considers lifting Affordable Care Act restrictions on how physician-owned hospitals can expand their facilities, clinicians claim that move could be a key factor in improving access to care.


Karen Murphy to serve as founding director of Geisinger's Steele Institute for Healthcare Innovation
Tuesday, June 27, 2017 3:00 PM
Geisinger Health System named Karen Murphy executive vice president, chief innovation officer and founding director of its Steele Institute for Healthcare Innovation.


HHS will award $195 million to community health centers for addiction treatment
Tuesday, June 27, 2017 3:00 PM
The funding supports the Trump administration's larger effort to combat the opioid epidemic by integrating substance abuse treatment into primary care.


Medicaid remains sticking point in Senate ACA repeal bill
Tuesday, June 27, 2017 2:00 PM
One of the sticking points among Republicans is how to rework the Medicaid program, which some states expanded under the Affordable Care Act.


Insurance claim denials cost hospitals $262 billion annually
Tuesday, June 27, 2017 12:00 PM
Those denied claims spark huge cash-flow issues and recovery costs, according to new data.


12 things to consider during delay of Obamacare repeal
Tuesday, June 27, 2017 12:00 PM
The GOP bill to repeal and replace the Affordable Care Act would have both positives and negatives for providers and health plans.


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Tuesday, 27 June 2017

Modern Healthcare Breaking News

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US does not need warrant to subpoena Oregon drug data
11:39:25 AM
A federal appeals court ruled Monday that the U.S. Drug Enforcement Agency does not need a court order to subpoena a prescription drug database kept by the state of Oregon. The ruling did not specify whether those subpoenas would violate...


Pharmacy boss blamed for meningitis outbreak gets nine years
Monday, June 26, 2017 7:00 PM
The co-owner of a compounding pharmacy deemed responsible for the deaths of 76 people in a national meningitis outbreak tearfully apologized to the victims on Monday and was sentenced to nine years in prison, far less than the victims had...


13 key CBO findings on the Senate GOP repeal bill
Monday, June 26, 2017 6:00 PM
The Better Care Reconciliation Act would result in a total 49 million Americans being uninsured by 2026, according to a Congressional Budget Office review of the draft bill.


Draft executive order would enhance high-deductible coverage for chronic disease care
Monday, June 26, 2017 6:00 PM
A draft version of a White House executive order would allow patients enrolled in high-deductible health plans to access care for chronic conditions before they meet their deductible.


Lack of insurance is tied to higher death rates, new study shows
Monday, June 26, 2017 6:00 PM
As the Senate debates and amends its Obamacare replacement bill projected to leave 22 million without insurance, a new report found that those with insurance live longer than the uninsured.


Senate healthcare bill would cause 22 million to lose coverage
Monday, June 26, 2017 5:30 PM
Senate Republicans' plan to repeal and replace Obamacare will cause 22 million to lose their health coverage by 2026, according to a projection from the Congressional Budget Office released Monday.


Medtronic inks outcome-based contract with Aetna for insulin pumps
Monday, June 26, 2017 4:00 PM
Medtronic and Aetna announced a new risk-based agreement for Type 1 and Type 2 diabetes patients who transition to Medtronic's insulin injectors. The deal aims to increase accountability and lower costs by tying reimbursement to outcomes.


Threat of identity theft played a role in record Anthem settlement
Monday, June 26, 2017 4:00 PM
Anthem is on the cusp of having to make the biggest payout in U.S. history for a data breach. The $115 million proposed settlement is a reflection of the just how valuable patient records and personal information have become.


Senate adds waiting period to ACA replacement bill
Monday, June 26, 2017 2:00 PM
The Senate revised its Affordable Care Act replacement in an effort to replicate the effects of the individual mandate. The change imposes a waiting period on individuals seeking to purchase insurance after letting their coverage lapse.


Quest Diagnostics, Walmart partner to offer lab testing services in stores
Monday, June 26, 2017 2:00 PM
Wal-Mart Stores will bring Quest Diagnostics' laboratory testing services to 15 Walmart locations in Florida and Texas by the end of the year.


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Monday, 26 June 2017

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California Assembly leader shelves single-payer health plan
11:20:19 AM
The prospects of a government-run health care system in California dimmed Friday when the leader of the state Assembly announced he doesn't plan to take up the single-payer bill this year.


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Saturday, 24 June 2017

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Race is on to pass Senate healthcare bill despite industry opposition
1:01:00 AM
Healthcare providers and insurers had differing reactions to the Senate Republican bill unveiled last week to repeal and replace the Affordable Care Act. The "discussion draft" draft bill bombed with healthcare providers, while some insurers reveled...


Data Points: Violence epidemic ravages the young
1:01:00 AM
The rash of shootings that have taken place throughout the country this year highlights the toll such incidents have had on children.


Swedish​ Health​ interim​ CEO​ Hudson​ named​ to​ top​ job
Friday, June 23, 2017 7:07 PM
Hudson has served as interim CEO since February after the resignation of Anthony Armada. Before taking the helm, Hudson was chief of physician services for western Washington at Swedish.


Forget the sun. Someday you could slather on a real tan
Friday, June 23, 2017 6:56 PM
A team of researchers from Massachusetts General Hospital in Boston have created a topically applied drug that stimulates the production of melanin, which darkens the skin.


Anthem settles data-breach litigation for record $115 million
Friday, June 23, 2017 6:16 PM
Anthem has reached a $115 million deal to settle lawsuits over a 2015 data breach in which hackers stole personal information from 78.8 million employees and current and former members.


Community health centers improved care access in medical home model, but spending increased
Friday, June 23, 2017 5:00 PM
Policymakers have touted the patient-centered medical home model as an opportunity to improve access to primary-care services while decreasing healthcare costs through the prevention of chronic diseases. But a new study shows the model has mixed...


Senate ACA repeal bill could force states to drop provider rates, eligibility
Friday, June 23, 2017 3:55 PM
The Senate's proposed legislation to repeal the Affordable Care Act could have widespread implications for healthcare providers across the country, sparking hospital closures, lower provider rates and decreased access to nursing homes if the bill...


Pundits and pols question whether the BCRA can pass in its entirety
Friday, June 23, 2017 3:34 PM
Even with four conservative Senators saying they can't vote for the Better Care Reconciliation Act, and three centrist Senators saying they are concerned about the way the bill funds Medicaid, there may be enough changes during the amendments...


Will McConnell succeed in passing ACA repeal bill?
Friday, June 23, 2017 1:00 PM
This promises to one of the most turbulent, consequential weeks in U.S. healthcare history, as Senate Majority Leader Mitch McConnell tries to quickly pass a far-reaching bill, unveiled only last Thursday.


Senate ACA repeal bill strikes a tough blow to public health funding
Friday, June 23, 2017 12:00 PM
Senate Republicans' bill to repeal and replace the Affordable Care Act deals a heavy blow to public health efforts by eliminating key funding created by the landmark healthcare reform bill.


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Friday, 23 June 2017

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Insurers' losses on ACA plans narrow in 2016
10:00:00 AM
Insurers' margins on individual insurance plans improved in aggregate in 2016 over 2015. But their losses still totaled billions of dollars.


Senate healthcare bill is a boon for many insurers, except Medicaid plans
Thursday, June 22, 2017 11:58 PM
Senate Republicans' bill to repeal and replace the Affordable Care Act may be enough to keep insurers from exiting the exchanges in 2018. But Medicaid insurers warn the bill's caps on federal spending in that program would compel them to cut...


How ACA, AHCA and BCRA compare
Thursday, June 22, 2017 5:00 PM
How do the Better Care Reconciliation Act and American Health Care Act compare to current law? We break it all down.


AHRQ's potential move to the NIH could strengthen its work
Thursday, June 22, 2017 5:00 PM
The Trump administration's 2018 budget proposed to merge the Agency for Healthcare Research and Quality with the National Institutes of Health. Experts say the move could benefit AHRQ if the consolidation is done right.


WellStar Health and Sutter Health add to the bond-selling binge
Thursday, June 22, 2017 4:18 PM
WellStar Health System and Sutter Health continue the parade of not-for-profits raising money in the bond markets with separate proposed offerings totaling about $1.3 billion.


Providers mobilize to oppose Senate ACA repeal bill
Thursday, June 22, 2017 4:00 PM
The Senate's proposed bill to replace Obamacare was immediately met with widespread dissent from healthcare providers throughout the country, including one of the largest for-profits, Tenet Healthcare.


Two health insurers expand Obamacare presence while others retreat
Thursday, June 22, 2017 4:00 PM
While some health insurers are bailing on the Affordable Care Act exchanges, other are swooping in to take the business they leave behind.


Hospital stocks rally on Senate reform bill
Thursday, June 22, 2017 2:00 PM
Hospital stock prices jumped on Thursday as investors reacted to the Senate's proposal for repealing and replacing the Affordable Care Act.


Senate ACA repeal bill includes tighter Medicaid caps than House version
Thursday, June 22, 2017 12:15 PM
Senate Republicans' bill to repeal and replace the Affordable Care Act would cap federal Medicaid spending even more tightly than the bill that House Republicans passed last month.


Mylan shareholders re-elect board, reject executive compensation proposals
Thursday, June 22, 2017 12:00 PM
Shareholders of the embattled drugmaker Mylan voted to re-elect its board members at a meeting Thursday morning, despite pressure to oust select executives amid widespread backlash for the skyrocketing price of EpiPens.


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Thursday, 22 June 2017

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Guest commentary: With healthcare legislation, Senate should take the time to do it right
8:00:00 AM
As the Senate works to develop its own version of the American Health Care Act, there is an opportunity to craft legislation that stabilizes the individual market, stems the tide of rising premiums and health plan withdrawals, and continues to...


Persistent Medicaid myths make AHCA cuts more likely
Wednesday, June 21, 2017 7:00 PM
While providers and some parents of medically fragile children warn of dire consequences if Medicaid funding is constrained, they seem to lack the political capital to get GOP lawmakers to reverse course. This could be because Medicaid is largely...


Trump's budget will cover initial costs of VA's EHR overhaul
Wednesday, June 21, 2017 6:00 PM
The VA doesn't yet know how much replacing its current electronic health record with a commercial product will cost, but President Donald Trump's proposed budget should fit the bill, at least for now, according to VA Secretary Dr. David Shulkin.


Independent and hungry, DuPage Medical Group pushes into Chicago's northwest suburbs
Wednesday, June 21, 2017 5:42 PM
DuPage Medical Group, the largest independent physician group in the Chicago area, is continuing its rapid expansion by entering the northwest suburbs.


Governors push Senate to continue cost-sharing, expansion funds
Wednesday, June 21, 2017 3:00 PM
Governors are calling upon federal lawmakers to quickly stabilize the individual health insurance market by continuing cost-sharing reductions until at least the end of next year and creating a reinsurance program for high-risk patients.


Physicians prepare for Medicare ID changes without clear CMS guidance
Wednesday, June 21, 2017 1:00 PM
Medical practices around the country are uncertain how to prepare for the removal of Social Security numbers from Medicare ID cards because the CMS has failed to provide clear guidance for the upcoming changes. The change could affect their billing...


7 questions about the Senate bill to repeal and replace the ACA
Wednesday, June 21, 2017 1:00 PM
No one other than Senate GOP leaders knows the details of their bill to repeal and replace the Affordable Care Act. But it's certain the bill would have a seismic impact on patients, providers and insurers if enacted.


While others jump ship, Oscar Health bets on Obamacare
Wednesday, June 21, 2017 12:46 PM
While many insurers are retreating from the individual insurance market, Oscar thinks its tech-driven insurance products and concierge-style member experience will help the company thrive in a time of regulatory uncertainty.


Editorial: Politics, not policy, are behind the rush to act on flawed AHCA
Wednesday, June 21, 2017 12:00 PM
There's a simple explanation for the haste with which the Senate is moving to pass a law that will have devastating consequences for the health of the tens of millions of Americans. They need the money.


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