Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Medicare panel gives low vote of confidence to weight-loss treatments Wednesday, August 30, 2017 5:45 PM Doctors hoping for expanded Medicare coverage for weight-loss surgeries and devices may be out of luck, following a vote of low confidence in the treatments from an influential advisory panel. U.S. clears first 'living drug' for childhood leukemia Wednesday, August 30, 2017 4:00 PM Opening a new era in cancer care, the Food and Drug Administration approved the first treatment that genetically engineers patients' own blood cells into an army of assassins to seek and destroy childhood leukemia. CVS customer seeks dismissal of recent drug prices lawsuit Wednesday, August 30, 2017 4:00 PM A CVS customer wants to end a federal lawsuit that hit the drugstore chain in a sensitive area: The prices it charges for prescriptions. Detroit Venture Partners helps in $3.6 million round for PriorAuthNow Wednesday, August 30, 2017 1:28 PM Detroit Venture Partners assisted NCT Ventures in leading an investment funding round for Columbus, Ohio-based PriorAuthNow, which closed on $3.6 million in investments, the company announced Tuesday. Providers leverage technology to fight delayed payments Wednesday, August 30, 2017 12:00 PM Sanford Health has set up kiosks in its clinics that estimate patients' out-of-pocket costs, a practice that has significantly increased upfront collections. Delayed payments have taken a toll on many health systems' bottom lines.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Providers feel the pain of slow Medicaid mental services rule rollout Tuesday, August 29, 2017 7:00 PM After a 50-year ban, the CMS announced last year that Medicaid would pay for inpatient psychiatric and substance abuse care. Hospitals hoped the change would decrease their ER case loads, but have seen no relief yet. Trump's easing of building regulations could backfire during severe flooding Tuesday, August 29, 2017 5:00 PM As the unprecedented storm devastates southeast Texas, a new executive order easing infrastructure regulations could jeopardize the safety of providers that must cope with future natural disasters. Guest commentary: Tilting back toward independent medical practice and what it might mean for hospitals Tuesday, August 29, 2017 4:00 PM Hospitals were major beneficiaries of the Obama years. In exchange for significant Medicare rate concessions, they received 20 million paying patients under the ACA. MACRA also was a win. But HHS Secretary Dr. Tom Price has been quietly looking for... In a first, anti-inflammatory drug lowers heart attack risks Tuesday, August 29, 2017 3:45 PM For the first time, a drug has helped prevent heart attacks by curbing inflammation, a new and very different approach than lowering cholesterol, the focus for many years. Medicare shared-savings ACOs cut $1 billion in costs over three years Tuesday, August 29, 2017 3:00 PM Accountable care organizations in the CMS' Medicare shared-savings program reduced spending by about $1 billion in the first three years, while also improving quality of care, according to a report by HHS' OIG. Advisory Board split in $2.6B deal with UnitedHealth's Optum buying healthcare business Tuesday, August 29, 2017 12:00 PM The Advisory Board Co. will be acquired by UnitedHealth Group's Optum and a private investment firm in an estimated $2.6 billion deal that splits the consulting group's healthcare business from its private equity arm. Suit: Aetna violated law with envelope revealing HIV status Tuesday, August 29, 2017 12:00 PM The suit, which seeks class action status, could represent up to 12,000 Aetna customers in at least 23 states who received mail from the insurer revealing their HIV status. Gilead to pay $11.9B for cancer treatment developer Kite Tuesday, August 29, 2017 11:42 AM Gilead Sciences will pay $11.9 billion in cash to buy Kite Pharma and plant a stake in an emerging area of cancer treatments that train a patient's immune cells to attack tumors. CDC: 28.1 million in U.S. lack health coverage Tuesday, August 29, 2017 11:33 AM The government says about 500,000 fewer Americans had no health insurance the first three months of this year, but that slight dip was not statistically significant from the same period in 2016.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Gilead to pay $11.9B for cancer treatment developer Kite 11:42:45 AM Gilead Sciences will pay $11.9 billion in cash to buy Kite Pharma and plant a stake in an emerging area of cancer treatments that train a patient's immune cells to attack tumors. CDC: 28.1M in U.S. lack health coverage 11:32:35 AM The government says about 500,000 fewer Americans had no health insurance the first three months of this year, but that slight dip was not statistically significant from the same period in 2016. Experts: States can adjust to lower CHIP match if they have time to prepare Monday, August 28, 2017 6:29 PM Insiders say Congress will not pull the enhanced match for CHIP, at least not next year. But it's not clear if legislators can get funding finalized next month. Chicago's county health system outlook in 2018: More Medicaid patients, more revenue Monday, August 28, 2017 5:00 PM The Chicago-based Cook County Health & Hospitals System's financial well-being next year relies heavily on money flowing from its CountyCare health plan, which is projected to swell about 60 percent under a new Illinois Medicaid contract. Texas hospitals have been preparing for Harvey for years Monday, August 28, 2017 5:00 PM Hurricane Harvey, which killed two people and devastated parts of Texas this weekend, caused some hospitals to close or evacuate because of flooding and still-dangerous weather. Many have prepared for such an emergency for years. Hospitals warn Medicaid DSH cuts could lead to reduced access for low-income patients Monday, August 28, 2017 5:00 PM A planned multibillion-dollar cut in uncompensated-care reimbursements could push hospitals to reduce the amount of Medicaid patients they see or cut services for that population. Nursing home abuse or neglect often goes unreported, OIG finds Monday, August 28, 2017 4:00 PM More than 1 in 4 cases of abuse or neglect at skilled-nursing facilities are not reported to law enforcement and the CMS fails to identify and report those incidents, according to HHS' Office of Inspector General. Integrated primary-care models expand access to opioid abuse treatment Monday, August 28, 2017 2:00 PM Only 2.2 million of the more than 20 million Americans with substance abuse disorders receive any type of treatment for their addiction. A new study suggests coordinated-care models can provide more effective addiction treatment than only referring... Sinai-owned Holy Cross plans to close physical rehab unit Monday, August 28, 2017 11:34 AM Holy Cross Hospital has applied to shutter its inpatient physical rehabilitation unit, blaming specialty rehabilitation services for the decline of patients on Chicago's Southwest side. Northwell chief says Obamacare rule change led to insurer's early death Monday, August 28, 2017 11:20 AM Northwell Health chief executive Michael Dowling said the system's decision to disband its insurance company will not hinder its plans to better manage patients' health in order to capture the savings of reduced costs.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Sinai-owned Holy Cross plans to close physical rehab unit 11:34:40 AM Holy Cross Hospital has applied to shutter its inpatient physical rehabilitation unit, blaming specialty rehabilitation services for the decline of patients on Chicago's Southwest side. Northwell chief says Obamacare rule change led to insurer's early death 11:20:12 AM Northwell Health chief executive Michael Dowling said the system's decision to disband its insurance company will not hinder its plans to better manage patients' health in order to capture the savings of reduced costs. 'Mini-organs' help doctors treat cystic fibrosis 1:01:00 AM Doctors in the Netherlands have developed a way to grow mini organs outside the body for treatment, and hope to one day be able to transplant them. Beware the Dodger Dog? Baseball stadiums ranked for food safety 1:01:00 AM The Los Angeles Dodgers may be riding high with the best record in Major League Baseball so far this season, but when it comes to food safety they're in the basement. Deadly Harvey causes some Houston hospitals to close, evacuate Sunday, August 27, 2017 9:18 PM Hurricane Harvey, which killed two people and devastated parts of Texas this weekend, was causing some hospitals to close or evacuate because of flooding and still-dangerous weather.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Tenet, CHS battle debt and admissions softness as activist investors circle 1:01:00 AM Activist investors have taken off the gloves as turnarounds have plodded along at Community Health Systems and Tenet Healthcare. Anthem's new outpatient imaging policy likely to hit hospitals' bottom line 1:01:00 AM Looking to lower healthcare spending, Anthem will no longer pay for MRIs delivered on an outpatient basis at hospitals. Some health systems collect more than half of their profit from imaging services. Hospital officials worry about what Anthem's... CMS to take final APM snapshot of the year 1:01:00 AM If​ providers​ in​ Advanced​ Alternative​ Payment​ Models​ don't​ meet​ certain​ ... Guest Commentary: 'Better Deal' plan on drug prices won't deliver 1:01:00 AM Consumers' angst over the ACA is dwarfed by their concerns over the cost of healthcare and soaring prescription drug prices specifically. Time to do something about it. For healthcare consultants, uncertainty is good for business 1:01:00 AM Healthcare providers and insurers are flocking to consultants for help navigating the uncertainty surrounding the GOP's push to repeal the Affordable Care Act and plan for possible outcomes. Physician offices, hospitals still trying to prepare for MACRA's reimbursement changes 1:01:00 AM MACRA's approach to reimbursing physicians is here, but many doctors and administrators are still trying to get a handle on how it works. Q&A with Domanico: Consolidation 'has taken the local community flavor out of healthcare' 1:01:00 AM Marin General Hospital, the safety-net hospital for the Bay Area, is undergoing a $534 million recapitalization project to replace its 1950s-era buildings and bring its campus up to seismic standards for California. Marin General CEO Lee Domanico... Ascension/Presence exemplifies how Catholic systems look after their own Friday, August 25, 2017 6:45 PM Catholic supersystems are exploring partnerships that preserve their religious values. Only one-third of heart attack patients use cardiac rehab despite the health benefits Friday, August 25, 2017 5:35 PM Experts say physicians need to do a better job of explaining the benefits of cardiac rehabiliation programs to get patients to use them more. CMS shuts down industry concerns over Medicare Advantage vetting Friday, August 25, 2017 5:00 PM As the CMS seeks to crack down on the accuracy of Medicare Advantage provider networks, plans worry they don't have the guidance they need to avoid being penalized.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Cheyenne hospital regains Medicare, Medicaid status Thursday, August 24, 2017 9:20 PM Cheyenne Regional Medical Center officials say the hospital has regained its standing with the CMS after losing its deemed status over a complaint. California lawmakers to hold universal healthcare hearings Thursday, August 24, 2017 9:14 PM California lawmakers will hold hearings on universal health care during the Legislature's year-end recess. Editorial: First things first -- fix the insurance exchanges Thursday, August 24, 2017 9:00 PM Congress returns from its summer recess amid hopeful signs that moderates in the Senate will craft bipartisan legislation to bolster the individual insurance markets created by the Affordable Care Act. Northwell Health shutting down CareConnect insurance unit Thursday, August 24, 2017 4:00 PM After enduring millions in financial losses, Northwell is winding down its CareConnect insurance business and withdrawing from New York's health insurance exchange, where it covers 13,000 members. Lawyers: Aetna envelope window reveals patients' HIV status Thursday, August 24, 2017 3:01 PM Two legal organizations say health insurer Aetna revealed the HIV status of patients in several states by mailing envelopes with a large, clear window that showed information on purchasing HIV prescriptions. Last 'bare' county in the U.S. scores ACA exchange coverage Thursday, August 24, 2017 1:00 PM After CareSource announced it will sell health insurance exchange plans in Paulding County, Ohio, every county in the U.S now has at least one insurer participating in the exchanges. Report highlights growing health disparities in Appalachia Thursday, August 24, 2017 12:00 PM The 25 million people who live among the Appalachian Mountains have struggled to keep up with health gains of the rest of the nation, falling behind in most major public health indicators, according to a new study.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Ascension picks proven deal structure for Presence Health acquisition 9:09:28 AM Ascension can count on little regulatory resistance to its acquisition of Presence Health because it is structuring the deal like a previous joint venture in Chicago. John Popovich to retire after four decades at Henry Ford Hospital Wednesday, August 23, 2017 6:00 PM After 43 years at Henry Ford Hospital, starting out as an intern and rising to become CEO, John Popovich, M.D., announced today he will retire in the spring of 2018. Cleveland Clinic linked to potential hospital in China Wednesday, August 23, 2017 5:45 PM Cleveland Clinic has signed a management consulting agreement with an unnamed organization planning to open a hospital in Shanghai. It's the first agreement in the clinic's global affiliation program. Medicare to divulge when a doc's patient is in an ACO Wednesday, August 23, 2017 5:00 PM The CMS is seeking to address a long-standing provider complaint about ACOs by providing them more certainty on which patients they'll be evaluated on. Intermountain seeks to cut opioid prescribing 40% by end of next year Wednesday, August 23, 2017 5:00 PM Intermountain Healthcare is the first major U.S. health system to pledge a major reduction in opioid prescribing by setting a target of 5 million fewer opioid prescriptions by the end of 2018. Iowa's ACA waiver plan would redistribute subsidies from the poor to wealthier people Wednesday, August 23, 2017 5:00 PM By eliminating cost-sharing reductions, Iowa's Medicaid waiver proposal would expose lower-income consumers to much higher deductible costs, potentially reducing enrollment and access to care. Does MACRA leave small physician practices behind? Wednesday, August 23, 2017 3:00 PM A CMS proposal to let as many as 934,000 providers pass on participating in MACRA may prevent small practices from receiving rewards for improving quality of care and discourage them from working under value-based arrangements.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Why the feds block some hospital marriages—and bless others 11:35:17 AM It's been five months since federal anti-trust regulators threw cold water on the marriage of Advocate Health Care and NorthShore University HealthSystem. Will Presence Health and Ascension, respectively the largest Catholic hospital systems in... Lorem Ipsum Lorem Ipsum 11:34:43 AM Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum Hospital panel supports CMS plan to cut payments for some cardiac devices Tuesday, August 22, 2017 5:00 PM A panel that advises HHS on outpatient hospital payments supports a decision by the CMS to drop payments for drug-coated balloons as of Dec. 31. Experts: Hate crimes are a public health issue Tuesday, August 22, 2017 5:00 PM Public health leaders say hate crimes have a negative health impact on victims and communities. Not-for-profit providers' rising expenses, dwindling revenue could spur mergers Tuesday, August 22, 2017 4:00 PM Not-for-profit providers' expense growth will likely continue to eclipse their revenue increases, as rising costs and downward pressure on reimbursement levels have a compounding effect over the years. Healthcare organizations ask CMS to harmonize EHR requirements Tuesday, August 22, 2017 2:00 PM In comments on a proposed MACRA rule, healthcare organizations said they were happy that the CMS eased EHR requirements for the 2018 performance year, but they still want greater flexibility in which EHRs they could use. Ascension to acquire Presence Health Tuesday, August 22, 2017 2:00 PM The deal would combine Presence Health, the largest Catholic health system in Illinois, with the nation's largest not-for-profit hospital company. CliniComp sues to stop VA-Cerner contract Tuesday, August 22, 2017 1:00 PM CliniComp, an EHR vendor that supplies software to the VA and Defense Department, says it might have been considered for the contract had the VA conducted open and competitive bidding. Northwestern doubles down on neurology Tuesday, August 22, 2017 12:00 PM Neurology is a particularly lucrative line of business since the specialty is procedure-heavy, and Medicare and commercial insurers pay well for those procedures. Investing in neurology could help providers' bottom lines and move them up in national... Montefiore looks to engage West African community in hep-B prevention campaign Tuesday, August 22, 2017 11:54 AM An estimated 10% to 15% of the Bronx's 120,000 residents from West Africa may be infected with hepatitis B. Montefiore has launched a community outreach campaign to inform the community about health risks, screening and treatment.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Influential advisory panel asks CMS to reject $1.65 billion cuts to 340B Monday, August 21, 2017 6:00 PM A panel that advises HHS on outpatient hospital payments wants the CMS to drop a draft rule that could cut up to $1.65 billion out of the 340B discount drug program. HHS ordered to explain Medicare outlier payment formula Monday, August 21, 2017 5:30 PM HHS' outlier payment program has been subject to scrutiny after more than 100 hospitals manipulated data to score more reimbursement money for their exceptionally expensive patients. How California is combating ACA uncertainty Monday, August 21, 2017 5:00 PM Covered California is boosting its marketing budget and allowing insurers that incur unexpected losses next year to make higher profits in the years ahead. It's one example of how states are shoring up their own marketplaces, instead of waiting for... Acadia CEO Jacobs to sell $10.1 million in stock Monday, August 21, 2017 5:00 PM Acadia Healthcare CEO Joey Jacobs and other executives are joining investors Waud Capital Partners and Bain Capital Investors to sell 2.8 million shares in one of the nation's largest behavioral health chains. CHS investor calls for CEO Wayne Smith's ouster Monday, August 21, 2017 3:15 PM ASL Strategic Value Fund managing director Steven Braverman said Community Health Systems' management has failed to return his phone calls, and the company's operational turnaround has not gotten traction. Tenet in crosshairs of activist shareholder Camber Capital Monday, August 21, 2017 2:00 PM Tenet Healthcare Corp. now has two activist shareholders with sizable stakes in its business. Boston-based Camber Capital has purchased 5.7% of Tenet's shares, and the hedge fund has a CEO with an activist history. Coming soon to a strip mall near you: An MRI provider Monday, August 21, 2017 12:14 PM More and more medical procedures are moving to the strip mall, thanks to high-deductible insurance plans that are turning patients into penny-pinchers. Hospital systems like Edward-Elmhurst Health are reacting, hedging their bets on what have been... Tax could ensnare medical-device industry Monday, August 21, 2017 12:00 PM Biomedical leaders hope they'll be able to find bipartisan support to stall or repeal a 2.3% excise tax on all medical devices sold in the U.S. before it comes back online on Jan. 1, 2018.

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