Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Veterans Affairs whistleblower resigns, citing retaliation 10:34:57 AM A Department of Veterans Affairs employee who told Congress the agency was using unauthorized wait lists for mental health care in Colorado has resigned, saying he was... WellCare bets on Medicare with $800 buyout of Universal American 8:16:08 AM WellCare Health Plans will acquire Universal American in a deal valued at $800 million, bolstering the company's investment in Medicare Advantage and accountable care organizations. ER patients have 1 in 4 chance of getting surprise out of network bill 7:40:56 AM Patients who get ER care at an in-network hospital have a nearly 1 in 4 chance of getting a surprise bill because they were treated by an out-of-network ER doctor, according to a new study in the New England Journal of Medicine. Susan G. Komen's CEO is stepping down 7:24:07 AM Dr. Judith Salerno is stepping down as President and CEO of the breast cancer research group to pursue new opportunities. Susan G. Komen's general counsel, Ellen Wilmott will step into the role on an interim basis. Advocate, NorthShore vow to continue fight to merge Wednesday, November 16, 2016 1:50 PM Advocate Health Care and NorthShore University HealthSystem will continue their fight to merge despite a recent court ruling that weakened their case. Americans are sicker, skip care more than citizens of other high-income nations Wednesday, November 16, 2016 12:40 PM Americans are sicker and have more trouble affording care than 10 other high-income countries. Almost half of U.S. adults with low incomes can't get the care they need, and many resort to the emergency room for treatment, according to the... As Trump plans ACA repeal, HealthCare.gov enrollment tops 1 million Wednesday, November 16, 2016 12:19 PM Despite a surge in enrollment in HealthCare.gov coverage the day after the presidential election, plan selections for the first two weeks of open enrollment are just slightly ahead of last year's. WellCare caps legal expenses for former execs in fraud case Wednesday, November 16, 2016 12:07 PM WellCare Health Plans has entered agreements that cap costly legal expenses for two former top executives convicted of defrauding Medicaid in a case that started nearly a decade ago. The settlements also allow the executives to cash in stock. Florida looks to cover housing services under Medicaid Wednesday, November 16, 2016 12:02 PM Florida would reimburse managed-care plans for residential placement and other services for some Medicaid enrollees. It's one of many recent moves to address social, economic and environmental factors that influence health, such as housing. HCA hub architect Sam Hazen adds president's title to COO role Wednesday, November 16, 2016 11:26 AM Sam Hazen, the top operating executive at 170-hospital HCA Holdings, has added the title of president to his position as chief operating officer. Hazen was instrumental in positioning HCA as the nation's healthiest investor-owned hospital chain.

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Modern Healthcare Breaking News

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare GOP governors hope to move fast on making promised changes 8:11:49 AM Republicans are still celebrating their election victories, but the country's GOP governors warned this week that they need to move fast on many of the changes that have been promised to voters. 'Death with Dignity' bill passes in DC, will go to Congress 8:08:26 AM District of Columbia lawmakers have given final approval to a bill that would allow terminally ill patients to end their own lives with the help of a doctor. Trump's HHS secretary could be surgeon Rep. Tom Price Tuesday, November 15, 2016 4:36 PM President-elect Donald Trump is considering Rep. Tom Price, the powerful Republican orthopedic surgeon from Georgia, as a potential HHS secretary, according to news reports. Short-term health plan brokerage abruptly changes CEO Tuesday, November 15, 2016 3:41 PM Health Insurance Innovations, a brokerage that sells many short-term health plans, appointed a new CEO Tuesday with few details behind the switch. Could replacing nurses with nursing assistants pose risks to patients? Tuesday, November 15, 2016 3:21 PM The study is salient as hospitals look for ways to cut costs, including by changing the skill mix of nursing staff by hiring assistants with less training. Calif. Supreme Court says HMOs are on the hook for clients' emergency bills Tuesday, November 15, 2016 1:45 PM The California Supreme Court on Monday guaranteed that HMOs will pay for noncontracted emergency services in the state, telling insurers they can't hide behind third-party contracts to avoid paying emergency providers. Oil slump, bad debt push Integris Health into red Tuesday, November 15, 2016 1:44 PM Economic troubles in the oil patch and bad debt contributed to a first-quarter operating loss and a slight decline in revenue at Integris Health. The Oklahoma City-based system's finances are now in the hands of new CFO Daniel Davis. New Jersey physician agrees to $5.25M settlement, exclusion for false billing Tuesday, November 15, 2016 1:42 PM A New Jersey OB-GYN has agreed to pay $5.25 million and will be excluded from Medicare and Medicaid for 20 years to settle allegations that he submitted thousands of false claims to federal healthcare programs. Medicare plans urge lame-duck Congress to fix quality-bonus glitch Tuesday, November 15, 2016 1:37 PM Insurers are pushing for the lame-duck Congress to fix an unintended glitch in the Affordable Care Act that shortchanges some Medicare Advantage plans on the incentive payments they earned for providing high-quality healthcare. The glitch, they say,... AMA embraces value-based drug pricing Tuesday, November 15, 2016 1:34 PM The American Medical Association joined the growing number of clinical organizations calling for value-based pricing for medications.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Kindred pays $700 million for 36 nursing homes it will sell Monday, November 14, 2016 6:28 PM Kindred Healthcare has agreed to pay Ventas $700 million for 36 nursing homes Ventas owns and leases to Kindred. The deal frees Kindred to sell them so Kindred can eventually exit the nursing home business. SSM Health's Oklahoma hub strategy has a St. Louis flavor Monday, November 14, 2016 2:25 PM SSM Health's tie-up with the Oklahoma University Medical Center looks strikingly similar to the hub strategy that the Catholic system has built out in St. Louis. Hospitals push readmissions fix in lame-duck Congress Monday, November 14, 2016 2:10 PM Industry lobbyists are putting the pressure on Congress to use the lame-duck session to pass a law that would take into consideration the challenges faced by hospitals that predominantly treat low-income patients.

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Modern Healthcare Breaking News Latest Breaking News from Modern Healthcare Retail clinics don't reduce ER use for low-acuity conditions 8:00:00 AM Some researchers and health policymakers had hoped the blitz of retail clinics across the country would reduce visits to the ER. A new study from Rand Corp. finds that isn't the case.

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