Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare CMS will test paying more for skilled nursing to curb hospital readmissions Thursday, March 24, 2016 5:44 PM Industry stakeholders say the new CMS initiative for skilled-nursing facilities acknowledges the role of post-acute-care facilities in improving quality of care, and the success of the bundled-payment model. Bill to delay bundled joint replacement payments introduced Thursday, March 24, 2016 5:00 PM Lawmakers won't be in regular session again, however, until after the rule is scheduled for implementation. Centene completes Health Net deal after protracted review Thursday, March 24, 2016 4:00 PM It took almost two months longer than expected, but Medicaid insurer Centene Corp. finally closed on its Health Net deal after winning approval from skeptical California regulators. Southwestern Health Resources prepares for launch, installs management team Thursday, March 24, 2016 3:57 PM Southwestern Health Resources, the joint operating company formed by UT Southwestern Medical Center and Texas Health Resources, has installed its senior management team as it prepares to begin operations April 1. Room for improvement in calculating exchange risk adjustments Thursday, March 24, 2016 2:02 PM A report from Avalere Health found that the estimates could improve by taking into account different demographics and prescription drug data. Gov. Asa Hutchinson tries to save expanded Medicaid in Arkansas Thursday, March 24, 2016 1:30 PM When he ran for governor in 2014, Hutchinson echoed the party's attacks on the Affordable Care Act. But two years after winning office, he has executed a surprising turnabout and become the leading rescuer of one of the ACA's most embattled... TeamHealth yields three board seats to Jana for 'stand-still' pledge Thursday, March 24, 2016 12:51 PM TeamHealth, the giant physician-staffing company, has acquiesced to demands by activist investor Jana Partners for three seats on the TeamHealth board of directors. In exchange, Jana agreed to not launch an unfriendly bid for TeamHealth. CMS delays moving HealthCare.gov appeals and subsidy payment processes online Thursday, March 24, 2016 12:04 PM The CMS is pressing pause on two initiatives to automate how it pays tax and subsidy payments to plans on the insurance marketplace and how consumers appeal denials of coverage eligibility. Projected ACA costs rise by $136 billion due to robust Medicaid enrollment Thursday, March 24, 2016 11:59 AM Over the next decade, the Affordable Care Act's insurance provisions will cost the federal government $136 billion more than expected, according to the latest report from the Congressional Budget Office. UPMC-Jameson Health merger approved Thursday, March 24, 2016 11:15 AM The Pennsylvania state attorney general's office has announced a consent decree on the long-delayed merger between UPMC and Jameson Health System in Lawrence County.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare UPMC-Jameson Health merger approved 11:15:00 AM The Pennsylvania state attorney general's office has announced a consent decree on the long-delayed merger between UPMC and Jameson Health System in Lawrence County. Wider HIPAA audits may drive stronger vendor contracts Wednesday, March 23, 2016 6:42 PM The feds appear to be preparing to clamp down on the sometimes porous flow of patient data handled by vendors of healthcare organizations, which has exploded with the growth of EHRs, analytics and mobile devices in healthcare. AHA says new federal labor rule could discourage hospitals from seeking legal counsel Wednesday, March 23, 2016 6:40 PM The American Hospital Association says a new Labor Department rule meant to shine a light on clandestine anti-union campaigns will have a chilling effect on hospitals' ability to seek expert advice on labor and collective bargaining issues. Doctors ask CMS to push hospitals for better communication after discharge Wednesday, March 23, 2016 3:13 PM The American Academy of Family Physicians is asking the CMS to push hospitals to more freely share patients' medical records. They say the current logjam of information is causing costly readmissions and putting patients at risk. Medicare diabetes prevention program could inspire insurers Wednesday, March 23, 2016 1:06 PM Participants lost weight and learned about healthy living while Medicare saved enough money per person to pay for the program and then some. HHS hopes the program's success will inspire employers and insurers to develop their own wellness programs. Supreme Court appears divided on ACA contraception case Wednesday, March 23, 2016 12:47 PM The U.S. Supreme Court appeared divided during oral arguments Wednesday in a challenge brought by religious not-for-profits that oppose having to play any part in providing birth control to employees as required under the Affordable Care Act. Sleep apnea mask maker will pay $34.8 million to settle kickback allegations Wednesday, March 23, 2016 11:36 AM A Pennsylvania company that makes sleep apnea masks will pay the government $34.8 million to settle allegations it paid kickbacks to medical equipment suppliers that bought its masks for patients.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Commentary: ACA helps raise the bar to keep 'bad actors' out of Medicare, Medicaid 1:01:00 AM There are some healthcare providers who are no longer welcome in Medicare and Medicaid. Patients, caregivers and taxpayers should know that unprecedented actions are being taken to make sure they don't participate in these federal programs. ACA repeal more difficult as Americans get used to popular provisions Tuesday, March 22, 2016 4:39 PM Well-liked measures of the Affordable Care Act, such as allowing young adults to stay on their parents' insurance longer and not allowing companies to discriminate against people with pre-existing conditions, rely on the more controversial... FDA bolsters warnings on most widely used painkillers Tuesday, March 22, 2016 4:00 PM In an effort to combat the current drug abuse epidemic, the FDA will require new, tougher labeling for immediate-release opioid pain medications that will include a boxed safety warning about misuse. RegionalCare to merge with Capella in $550 million deal Tuesday, March 22, 2016 1:00 PM The new company, RCCH Health Partners, will have 18 hospitals, more than 13,000 employees, 2,000 affiliated physicians and $1.7 billion in revenue. Marty Rash, chairman and CEO of RegionalCare, will assume the role of executive board chair for the... CMS tests waters for enhanced Medicare Advantage audits Tuesday, March 22, 2016 12:19 PM The federal government is examining how it can beef up medical record auditing of Medicare Advantage insurers, which have been accused of exaggerating patient diagnoses to pad their payments. New procedures outlined by the feds will lead to heftier... Pay rule could discourage providers from seeing Native American patients Tuesday, March 22, 2016 12:12 PM The rule allows tribal and urban Indian health programs to pay physicians outside of IHS facilities rates similar to Medicare when beneficiaries need care not available at IHS facilities. The goal is to lower spending and stretch the IHS' limited $5... Catholic Health Initiatives wrestles with Texas expansion Tuesday, March 22, 2016 12:09 PM Catholic Health Initiatives, the national system that has aggressively expanded its reach in recent years, ended its second quarter with gains in Nebraska and Kentucky but weaker results in one of its newest markets, Texas.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Scripps Health moves to reduce workforce, expenses Monday, March 21, 2016 5:43 PM Scripps Health announced it will restructure its management and eliminate roughly 100 jobs in a bid to slash operating expenses. Will the Anthem-Express Scripts battle change the PBM landscape? Monday, March 21, 2016 5:38 PM Anthem's legal strike against Express Scripts Holding Co. may spur other health insurance companies to re-evaluate their contracts with pharmacy benefits managers to see if they are getting shortchanged on drug savings. New HIPAA audits will target healthcare industry's business partners Monday, March 21, 2016 5:35 PM A new round of federal privacy and security audits will target the business associates of healthcare providers, insurers and other HIPAA-covered entities along with the entities themselves, according to HHS' Office for Civil Rights. Piedmont Healthcare plans 'destination' Atlanta heart center with $75 million gift Monday, March 21, 2016 3:42 PM Piedmont Healthcare in Atlanta plans to use a $75 million gift to build a specialty heart center that would be on par with the Cleveland Clinic. White House may have advantage in upcoming ACA contraception case Monday, March 21, 2016 12:53 PM The U.S. Supreme Court on Wednesday will take up a case centering on questions of religious freedom and the Affordable Care Act's requirement that employers provide birth control coverage to employees. Anthem sues Express Scripts for $15 billion over drug pricing Monday, March 21, 2016 12:30 PM Health insurer Anthem has sued Express Scripts Holding Co., alleging the pharmacy benefit manager is not passing along billions of dollars in savings from negotiated drug prices. Could West Virginia antitrust law ease FTC's scrutiny of local hospital merger? Monday, March 21, 2016 12:23 PM The Federal Trade Commission must soon decide whether to continue challenging a merger between two West Virginia hospitals or drop the fight following the passage of a state law meant to shield such mergers from federal antitrust action. CMS' home health prior-authorization policy raises ire of industry, patients Monday, March 21, 2016 12:13 PM A CMS proposal aimed at curbing fraud in home health service claims could harm patient care and will unfairly harm agencies that are compliant, stakeholders say. MetroHealth whistleblower drops lawsuit against system, apologizes Monday, March 21, 2016 11:30 AM MetroHealth's former internal auditor has dropped his lawsuit against the system that claimed its top brass had used hospital funds for personal use and issued an apology saying the allegations were "untrue and inaccurate."

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