Thursday, 10 September 2015

Modern Healthcare Breaking News

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Paz retiring as CEO of Express Scripts
Wednesday, September 09, 2015 6:48 PM
George Paz, the longtime head of Express Scripts Holding Co., is stepping down next spring to retire, the St. Louis-based pharmacy benefit management company said Wednesday. Express Scripts President Tim Wentworth will become the next CEO.


New cholesterol drugs overpriced by $11,500, report says
Wednesday, September 09, 2015 6:30 PM
The $14,000 sticker price on the new class of injectable cholesterol-lowering drugs would need to drop as much as 82% to make the drugs cost-effective, concluded a report released Tuesday from the Institute for Clinical and Economic Review.


Cyberattack on New York Blues plan Excellus affects 10 million
Wednesday, September 09, 2015 6:00 PM
Excellus Blue Cross and Blue Shield, a Rochester, N.Y.-based insurer, disclosed Wednesday afternoon that it was the victim of a sophisticated cyberattack by hackers who may have gained access to over 10 million personal records.


House Republicans' ACA lawsuit moves forward
Wednesday, September 09, 2015 5:45 PM
Just months after the Affordable Care Act survived a serious legal threat before the U.S. Supreme Court, a federal judge Wednesday gave a boost to another lawsuit that could put the healthcare law in peril.


New York loosens rules on controversial Jewish circumcision ritual
Wednesday, September 09, 2015 4:29 PM
The New York City Board of Health has relaxed its rules surrounding a controversial practice used by ultra-religious Jews during circumcision.


U.S. surgeon general wants country to invest in activity, doesn't offer federal funds
Wednesday, September 09, 2015 3:48 PM
U.S. Surgeon General Dr. Vivek Murthy seeks to rebuild a culture of physical activity and health in America with a call to action. He says walking and walkable communities can lead to better health but didn't put any federal funding behind urban...


Pennsylvania to dig into surprise medical charges
Wednesday, September 09, 2015 3:30 PM
The Pennsylvania Insurance Department will hold an October hearing in an effort to eliminate or mitigate the impact of unexpected out-of-network bills on consumers, and the Keystone State is not alone in investigating and regulating surprise medical...


How big is a small business as defined under the ACA?
Wednesday, September 09, 2015 3:10 PM
Health insurance experts debated Wednesday during a congressional hearing whether a planned change to the definition of a small business under the Affordable Care Act would be more disruptive than altering the law to allow states to set the...


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Wednesday, 9 September 2015

Modern Healthcare Breaking News

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Providers and payers pushed to pay for prevention in diabetes fight
8:45:00 AM
While recent studies suggest that diabetes and obesity in the U.S. have finally plateaued, experts are urging widespread adoption of proven lifestyle intervention techniques to fight the problems, and they are now pushing health systems to invest in...


Congress starts Planned Parenthood hearings, accusations fly
8:00:00 AM
A prominent abortion foe is accusing Planned Parenthood of violating federal laws barring for-profit sales of fetal tissue, while a defender of the group says it's done nothing illegal as Congress begins long-awaited hearings that are already...


Dartmouth innovation chief departs system
Tuesday, September 08, 2015 6:59 PM
Terry Carroll, chief innovation officer at Dartmouth-Hitchcock, has left the Lebanon, N.H.-based health system to "pursue other interests," a spokesman said.


Healthcare consolidation hearings likely to include ACA blame game
Tuesday, September 08, 2015 6:15 PM
Two massive health insurance mergers in the works have reignited a fiery discussion over excessive consolidation. A series of House hearings that begins this week will look for villains: hospitals, doctors, insurers and, of course, the Affordable...


Expanded rev-cycle software boosts Craneware profits
Tuesday, September 08, 2015 5:52 PM
With the healthcare industry shifting from volume-based to value-based pay and facing more patients who act like consumers, Craneware appears to be among the successful revenue-cycle vendors who are becoming more than just a collection agency.


300,000 stopped paying for exchange plans in second quarter
Tuesday, September 08, 2015 4:46 PM
Nearly 300,000 people who obtained coverage though the state and federal marketplaces stopped paying their premiums between March and June of this year, according to CMS data.


Agencies, AARP blast Medicare's home health pay cut, quality demo
Tuesday, September 08, 2015 4:15 PM
The CMS is under fire from home health firms and senior citizen advocates for its proposed reductions in the reimbursement schedule and a proposed quality incentive program. They fear it will jeopardize patient access to home healthcare.


Diabetes prevalence remains high, costly
Tuesday, September 08, 2015 4:00 PM
An estimated 1 in 8 adult Americans has diabetes. While recent public policies appear to have stopped the spread of obesity, the primary cause of Type 2 diabetes, reversing the epidemic will require sustained and expanded efforts.


Seton Medical Center names new CEO
Tuesday, September 08, 2015 1:07 PM
Seton Medical Center, a part of the Los Altos Hills, Calif-based Daughters of Charity Health System, will soon have a new CEO.


Docs, hospitals contend insurer mergers will quash competition
Tuesday, September 08, 2015 9:00 AM
If the pending mergers between Anthem and Cigna Corp., and Aetna and Humana are approved by the federal government, major insurance markets in almost half the country would suffer from reduced competition and potentially higher prices, according to...


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Monday, 7 September 2015

Modern Healthcare Breaking News

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Whistle-blower alleges N.C. hospitals used health plan to inflate charges
10:40:33 AM
A whistle-blower lawsuit unsealed in a North Carolina court last week accused Carolinas Medical Center and N.C. Baptist Hospital of using their jointly-owned health plan to inflate expenses in order to boost reimbursement from Medicare and Medicaid.


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Sunday, 6 September 2015

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Kentucky cardiologist charged with healthcare fraud
Saturday, September 05, 2015 7:08 PM
Federal prosecutors say an Ashland, Ky., cardiologist has been charged with performing unnecessary cardiac stent procedures on hundreds of patients.


Arson destroys Planned Parenthood clinic in Washington state
Saturday, September 05, 2015 12:01 PM
A pre-dawn blaze in Pullman, Wash., that heavily damaged a Planned Parenthood clinic was arson, fire investigators determined Friday.


South Carolina investigating Medicaid behavioral health providers
Saturday, September 05, 2015 11:44 AM
South Carolina's Medicaid agency is reviewing dozens of private providers for possible fraud after payments for certain behavioral health services skyrocketed.


CHS taps Miller to run Quorum spin-off
Saturday, September 05, 2015 11:25 AM
Community Health Systems on Friday tapped Thomas D. Miller as chief executive officer of Quorum Health, the planned spin-off of 38 small and rural hospitals in 16 states.


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