United States Of America
United States Of America - Modern Healthcare
Monday - 15th October, 2018
Texas fines Humana for out-of-network anesthesiology bills
In an unusual enforcement action against an insurer for out-of-network billing, Humana will...
Monday - 8th October, 2018
CMS’ readmissions program changes hit specialty hospitals
Recent changes to the CMS’ Hospital Readmissions Reduction Program will result in smaller penaltie...
Monday - 1st October, 2018
Policy panel wants restrictions on Beth Israel-Lahey merger
The proposed merger between Beth Israel Deaconess Medical Center, Lahey Health System and other hosp...
Monday - 24th September, 2018
Margins at not-for-profit hospitals continue to shrink
Stunted operating margins persist for U.S. not-for-profit hospitals, but improved cash on hand and c...
Monday - 17th September, 2018
Hospitals face Hurricane Florence head on
North Carolina hospitals hunkered down and waited for emergency patients to arrive after Hurricane F...
Monday - 10th September, 2018
Mandatory joint pay model slashes spending in just eight months
A mandatory pay model aimed at reducing Medicare spending on joint replacement surgeries wa...
Monday - 3rd September, 2018
House committee calls for scrutiny of hospital consolidations
An influential House health committee wants the Medicare Payment Advisory Commission to assess how t...
Monday - 27th August, 2018
Cigna, Express Scripts shareholders approve deal
Shareholders voted Aug. 24 to approve Cigna’s proposed $67 billion takeover of Express Scripts Hol...
Monday - 20th August, 2018
The U.S. Food and Drug Administration approved the first generic version of Mylan’s EpiPe...
Monday - 13th August, 2018
Mayo Clinic chooses its top Florida exec for CEO post
Mayo Clinic picked its top Florida executive, gastroenterologist and genomics researcher Dr...
Monday - 6th August, 2018
Hiring in healthcare slowed last month. The sector added 16,700 jobs in July, down 34% from the 25,2...
Monday - 30th July, 2018
Azar promises continued Medicare billing overhaul, regulatory relief
HHS Secretary Alex Azar last week doubled down on promises to overhaul the Medicare billing structur...
Monday - 23rd July, 2018
California announces ACA rates to rise almost 9% next year
The 1.4 million Californians who buy coverage on the state’s individual insurance exchang...
Monday - 16th July, 2018
Azar pitches drastic cuts in 340B discounts for hospitals
HHS Secretary Alex Azar in a private meeting with GOP House lawmakers Thursday floated standardizing...
Monday - 9th July, 2018
Move Quickly on Data Integration
As the healthcare industry continues on its blistering pace of mergers, acquisitions, and partnershi...
Monday - 25th June, 2018
White House proposes HHS restructuring and renaming to consolidate welfare programs
As part of a sweeping reorganization to make the federal government leaner, the White House proposed...
Monday - 18th June, 2018
Court rejects insurers’ plea for risk-corridor payments
The U.S. government does not owe health insurers billions of dollars in unpaid risk-corrido...
Monday - 11th June, 2018
Rethinking rural healthcare
DURING A DECADE THAT’ S TRANSFORMED HEALTHCARE, rural hospitals have suffered in particul...
Monday - 4th June, 2018
Oncologists sue HHS over Part B drug cuts
Oncologists sued HHS May 31 over the continued 2% cuts to Medicare Part B drug reimbursements packed...
Monday - 28th May, 2018
Through a Clinician’s lens
Dr. Jennifer Bolduc attended medical school and completed her pediatric training at the University o...
Monday - 21st May, 2018
◾ The Veterans Affairs Department and Cerner reached agreement for the VA’s new electronic he...
Monday - 14th May, 2018
Trump takes aim at pharma middlemen
Industry experts aren’t pinning high hopes on President Donald Trump’s plan to reduce drug price...
Monday - 7th May, 2018
House unveils VA Choice compromise bill
A key House committee on May 3 released compromise legislation to move forward with long-st...
Monday - 30th April, 2018
What’s next for interoperability
Interoperability remains the foundation for advancing healthcare because, in today’s value-based m...
Monday - 23rd April, 2018
Physician groups warn MIPS could harm patients, doctors
Several provider groups last week criticized a value-based payment program created by MACRA...
Monday - 16th April, 2018
White House steps up pressure on Congress to move on VA Choice reforms
The Trump administration is pushing Congress to hustle through VA Choice healthcare reforms before t...
Monday - 9th April, 2018
Blues plans suffer setback in major antitrust case
A federal district judge handed Blue Cross and Blue Shield insurers a setback last Thursday...
Monday - 2nd April, 2018
Blues plans discourage opioids as primary pain treatment
The Blue Cross and Blue Shield Association has adopted a new standard that opioids should not be the...
Monday - 26th March, 2018
Ascension hints at smaller hospital footprint
Ascension is pursuing a new strategic direction, one that would move it from a hospital-oriented sys...
Monday - 19th March, 2018
From the Editor
Dear reader: The statistics are staggering. Every day, more than 90 Americans die ...
Monday - 12th March, 2018
CMS nixes Idaho's plan for an ACA workaround
The CMS unexpectedly shot down Idaho’s effort to let insurers sell health plans that don’t compl...
Monday - 5th March, 2018
Atrium Health suspends merger talks with UNC Health Care
Atrium Health and UNC Health Care suspended their merger talks. The proposed deal had received vocal...
Monday - 26th February, 2018
CMS study to assess MIPS burden on clinicians
The CMS is inviting clinicians to sign up for a study to help determine how burdensome it is to repo...
Monday - 19th February, 2018
CMS finalizes revamp of cardiac-device coverage
The CMS last week announced an overhaul of its coverage policy for implantable cardiac devices, expe...
Monday - 12th February, 2018
White House outlines reforms to lower drug prices
The White House’s Council of Economic Advisers on Friday recommended easing government regulations...
Monday - 5th February, 2018
CMS proposes higher rates for Medicare Advantage in 2019
The CMS late last week proposed an average 1.84% bump in baseline Medicare Advantage paymen...
Monday - 29th January, 2018
Partners-Care New England deal moves forward
Partners HealthCare will pursue a definitive agreement to acquire Care New England Health System.&am...
Monday - 22nd January, 2018
States scramble as CHIP becomes political football
The Children’s Health Insurance Program, held until the eleventh hour as political leverage to swe...
Monday - 15th January, 2018
MedPAC votes 14-2 to junk MIPS
The Medicare Payment Advisory Commission voted 14-2 to repeal and replace a Medicare payment system ...
Monday - 8th January, 2018
Looser limits proposed for association health plans
The Trump administration late last week rolled out proposed rules that would allow more small busine...
Monday - 1st January, 2018
Drug prices rise as pharma profits soar
The amount people spend on prescription drugs has nearly doubled over the past three decades as phar...
Monday - 18th December, 2017
Repeal of net neutrality worries advocates of telemedicine
The Federal Communications Commission’s decision to end so-called net neutrality has some healthca...
Monday - 11th December, 2017
The number of Americans signing up for coverage each week since the Affordable Care Act’s fifth op...
Monday - 4th December, 2017
Two mandatory bundled-pay models canceled
The CMS has finalized its decision to toss two mandatory bundled-payment models and cut down the num...
Monday - 27th November, 2017
Mayo doubles operating income, fueling critics of its rural cuts
Rochester, Minn.-based Mayo Clinic more than doubled its operating income in the third quarter to $1...
Monday - 13th November, 2017
HCA’s East Houston Regional Medical Center forced to close after Harvey
East Houston Regional Medical Center closed Nov. 10 as it could not recover from the flood damage it...
Monday - 6th November, 2017
CMS dials back plan to slash payment for off-campus services by half
The CMS finalized its proposal to slash what Medicare pays for healthcare obtained at medical facili...
Monday - 30th October, 2017
Tenet cutting 1,300 jobs in ongoing restructuring
Tenet Healthcare Corp.’s shakeup continued late last week. Company officials announced Fr...
Monday - 23rd October, 2017
End of cardiac payment models could be costly for hospitals
The CMS may have overcorrected when it honored some hospitals’ requests to cancel mandatory cardia...
Monday - 16th October, 2017
CMS officials say they’re willing to talk about MIPS changes
A top CMS official agrees with a congressional advisory panel that a new payment model for physician...
Monday - 9th October, 2017
Tenet cuts regional managers as it streamlines operations
As part of its ongoing restructuring, Tenet Healthcare Corp. late last week confirmed that it was el...
Monday - 2nd October, 2017
Botched revival of ACA repeal unified industry stakeholders, strengthening them for future battles
“It’s like a zombie that won’t stay in the ground.” — John Gorman, former CMS off...
Monday - 25th September, 2017
Wisconsin system says Cerner's software caused $16 million in losses
Agnesian HealthCare is suing Cerner Corp. for a botched rollout of a revenue cycle management system...
Monday - 18th September, 2017
Anthem to stay in Va. exchange
In an about-face, Anthem announced on Friday that it will sell on- and off-exchange plans in 68 Virg...
Monday - 11th September, 2017
Florida providers brace for Hurricane Irma
Cleveland Clinic Florida staffers in the coastal town of Weston late last week gathered a four-day s...
Monday - 4th September, 2017
Governors push stabilization plan for individual market
Eight governors, led by Republican John Kasich of Ohio and Democrat John Hickenlooper of Colorado, r...
Monday - 28th August, 2017
Northwell Health shutting down CareConnect insurance unit
Northwell Health, New York’s biggest hospital system, is shutting down its insurance operation aft...
Monday - 21st August, 2017
Progressives, led by Bernie Sanders, want to shift healthcare reform debate
Sen. Bernie Sanders and his allies are trying to move the parameters of the healthcare reform conver...
Monday - 14th August, 2017
Hospitals continue to feel the pain from the quality program, but are seeing little gain...
Monday - 7th August, 2017
CDC bolsters funding to fight infectious diseases
State public health laboratories are slated to receive more than $200 million in federal funds to he...
Monday - 31st July, 2017
CMS sets wheels in motion for DSH payment cuts
Hospital trade groups will have to circle the wagons again if they hope to stave off billions of dol...
Monday - 24th July, 2017
Riding out the storm
Even as GOP efforts to repeal the Affordable Care Act hang by a thread, rural providers see no end t...
Monday - 17th July, 2017
Analysts predict drop in provider net revenue under BCRA
Provider revenue would take a sizable hit under the latest version of the Senate’s bill to repeal ...
Monday - 10th July, 2017
Georgia health commissioner picked as new CDC chief
HHS Secretary Dr. Tom Price late last week tapped Dr. Brenda Fitzgerald to be the next director of t...
Monday - 26th June, 2017
Pundits and pols question whether the BCRA can pass in its entirety
Shortly after details surrounding the Senate Republicans’ healthcare reform bill dropped, so did p...
Monday - 19th June, 2017
Price says $12 billion HHS budget cut will lead to better care
Price offered few details on how that would happen during his testimony before the Senate Appropriat...
Monday - 12th June, 2017
FDA moves to pull Endo’s opioid pain medication off the market
Citing public safety concerns, the U.S. Food and Drug Administration late last week took the rare st...
Monday - 5th June, 2017
The Senate is considering a tax on employer health plans as part of its version of the House’s bil...
Monday - 29th May, 2017
Tort reform experts are skeptical of President Donald Trump’s plans to overhaul medical malpractic...
Monday - 22nd May, 2017
Brinkley stepping down as CEO of KentuckyOne
Ruth Brinkley resigned late last week as CEO of KentuckyOne Health. The news comes just one week aft...
Monday - 15th May, 2017
1. The artwork in the hospital is: a. Calming and comforting b. Unpleasant and distracting ...
Monday - 8th May, 2017
Anthem asking Supreme Court to take up merger appeal
A week after its $54 billion merger with Cigna was shot down for a second time, insurer Anthem said ...
Monday - 1st May, 2017
A Senate committee last week voted to send the nomination of Dr. Scott Gottlieb as head of the Food ...
Monday - 24th April, 2017
Humana to focus on Medicare Advantage, Part D patients
Humana will continue to focus on the growing population of seniors in the U.S., the insurer said dur...
Monday - 17th April, 2017
Insurers unhappy with White House’s ACA marketplace concessions
As Congress and Republican leadership continue to wrangle over how to repeal and replace Obamacare, ...
Monday - 10th April, 2017
The Medicare Payment Advisory Commission last week voted 15-0 to recommend that Congress enact new d...
Monday - 3rd April, 2017
Judge greenlights feds’ steering contract suit against Carolinas
A North Carolina federal judge upheld a lawsuit brought by the U.S. Justice Department against Carol...
Monday - 27th March, 2017
As GOP bill founders, pressure mounts on insurers to keep ACA alive
The often-endangered Affordable Care Act survived its most serious political threat yet. Now it’s ...
Monday - 20th March, 2017
HHS takes the biggest hit in Trump’s first budget
HHS, public health efforts and other federal health programs will take big financial hits under Pres...
Monday - 13th March, 2017
Quelling a storm of violence` Changing how doctors get paid Healthcare sector adds...
Monday - 6th March, 2017
McKesson completes merging its tech unit with Change Healthcare
Drug distributor McKesson Corp.’s technology business has officially merged with Change Healthcare...
Monday - 27th February, 2017
Leaked House GOP draft offers first look at details of ACA repeal legislation
A leaked draft of the House Republican bill to repeal the Affordable Care Act would end Medicaid exp...
Monday - 20th February, 2017
Justice Department joins Medicare Advantage suit against UnitedHealth
The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and...
Monday - 13th February, 2017
Feds must pay Moda $214 million over risk-corridor program
A federal claims judge ruled last week that the federal government owes insurer Moda Health $214 mil...
Monday - 6th February, 2017
A leaked draft of a Trump administration executive order expanding religious protections could make ...
Monday - 30th January, 2017
Dr. Ram Raju takes key role at Northwell Health
Dr. Ram Raju has joined Northwell Health, the largest healthcare provider in the state of New York. ...
Monday - 23rd January, 2017
Cigna evaluates options as Anthem extends merger deadline
Anthem last week extended the deadline to complete its $54.2 billion tie-up with Cigna through April...
Monday - 16th January, 2017
Ascension names Patricia Maryland as second in command
Ascension has named Patricia Maryland as CEO of its giant healthcare division, replacing Bob Henkel,...
Monday - 9th January, 2017
Healthcare sector drives yearly job growth
Healthcare created more jobs than any other sector in 2016, helping to drive total annual job growth...
Monday - 2nd January, 2017
Democrats urge Trump to veto legislation cutting funds for Medicare and Medicaid
Senate and House Democrats, led by Bernie Sanders, are calling on the President-elect to veto any le...
Monday - 19th December, 2016
CMS cancels Part B demo, industry and opponents rejoice
The Obama administration canceled a mandatory five-year Medicare pilot program that would have teste...
Monday - 12th December, 2016
Humana writes off $591 million in ACA risk-corridor payments
Humana will write off nearly all of the $591 million it is owed under the Affordable Care Act’s ri...
Monday - 5th December, 2016
Federal programs now account for top share of health spending
Healthcare spending in 2015 increased at a rate of 5.8% as more people obtained health insurance and...
Monday - 28th November, 2016
FTC urges Tenn. to reject merger of Mountain States, Wellmont
The Federal Trade Commission and a cadre of prominent health economists are urging Tennessee officia...
Monday - 21st November, 2016
CMS launches online tool to facilitate MACRA compliance
The CMS late last week released an online tool for clinicians to identify which new Medicare payment...
Monday - 14th November, 2016
Trump picks ‘A-team’ for healthcare transition as ACA repeal looms
Sources say President-elect Donald Trump’s transition team for HHS will be led by Andrew Bremberg,...
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