Bright Health slashes annual revenue guidanceBright Health slashes annual revenue guidanceBright Health slashes annual revenue guidance

Bright Health slashes annual revenue guidance

Bright Health Group narrowed its net loss 56% to $125 million as revenue nearly doubled to $298 million during the second-quarter.

from Section Page News - Modern Healthcare https://ift.tt/VacOmM5

CMS updates HCAHPS survey amid declining scoresCMS updates HCAHPS survey amid declining scoresCMS updates HCAHPS survey amid declining scores

CMS updates HCAHPS survey amid declining scores

The modifications to the Hospital Consumer Assessment of Healthcare Providers and Systems survey have been years in the making.

from Section Page News - Modern Healthcare https://ift.tt/Pop40Kv

Oscar Health eyes exchanges expansion in 2024, Bertolini saysOscar Health eyes exchanges expansion in 2024, Bertolini saysOscar Health eyes exchanges expansion in 2024, Bertolini says

Oscar Health eyes exchanges expansion in 2024, Bertolini says

Oscar Health narrowed its net loss 86.2% to $15.4 million as revenue grew 49.6% to $1.5 billion during the second quarter, the health insurer reported Tuesday.

from Section Page News - Modern Healthcare https://ift.tt/CuziFl7

US COVID-19 hospitalizations are on the rise again, but not like beforeUS COVID-19 hospitalizations are on the rise again, but not like beforeUS COVID-19 hospitalizations are on the rise again, but not like before

US COVID-19 hospitalizations are on the rise again, but not like before

With an updated vaccine still months away, this summer bump in new hospitalizations might be concerning, but the number of patients is far lower than before.

from Section Page News - Modern Healthcare https://ift.tt/yeuD2UJ

Only 6% of health systems have generative AI strategy: reportOnly 6% of health systems have generative AI strategy: reportOnly 6% of health systems have generative AI strategy: report

Only 6% of health systems have generative AI strategy: report

Around 75% health system executives say generative AI has reached a turning point in its ability to reshape the industry.

from Section Page News - Modern Healthcare https://ift.tt/Fki4hZO

Babylon’s proposed deal to go private falls throughBabylon’s proposed deal to go private falls throughBabylon’s proposed deal to go private falls through

Babylon’s proposed deal to go private falls through

Babylon Health, an AI company, announced a proposed deal in June to combine with MindMaze, a digital health company focused on brain health.

from Section Page News - Modern Healthcare https://ift.tt/9QjxJd7

CMS pauses surprise billing arbitration after court rulingCMS pauses surprise billing arbitration after court rulingCMS pauses surprise billing arbitration after court ruling

CMS pauses surprise billing arbitration after court ruling

The fourth surprise billing-related lawsuit from the Texas Medical Association resulted in another win for providers. 

from Section Page News - Modern Healthcare https://ift.tt/ut5XTCm

Bright Health receives credit lifeline to keep afloatBright Health receives credit lifeline to keep afloatBright Health receives credit lifeline to keep afloat

Bright Health receives credit lifeline to keep afloat

Financially strapped Bright Health Group now has the means to stay in business while it completes a deal to sell its final insurance assets to Molina Healthcare.

from Section Page News - Modern Healthcare https://ift.tt/eGLXK6W

Mass General Brigham bets big on hospital-at-homeMass General Brigham bets big on hospital-at-homeMass General Brigham bets big on hospital-at-home

Mass General Brigham bets big on hospital-at-home

Mass General Brigham has ambitious plans to expand its hospital-at-home offerings. They may hinge on what the Centers for Medicare and Medicaid Services does next.

from Section Page News - Modern Healthcare https://ift.tt/T01emrA

Kaiser Permanente continues financial turnaround with strong Q2Kaiser Permanente continues financial turnaround with strong Q2Kaiser Permanente continues financial turnaround with strong Q2

Kaiser Permanente continues financial turnaround with strong Q2

Tom Meier, corporate treasurer, said Kaiser is still battling labor shortages, high costs from inflation, and pandemic-related effects on access to care.

from Section Page News - Modern Healthcare https://ift.tt/iFxmOlj

UnitedHealth names Conway OptumRx CEOUnitedHealth names Conway OptumRx CEOUnitedHealth names Conway OptumRx CEO

UnitedHealth names Conway OptumRx CEO

Dr. Patrick Conway will serve as CEO of UnitedHealth Group's pharmacy benefit management unit, effective immediately, according to a Thursday post on Linkedin. 

from Section Page News - Modern Healthcare https://ift.tt/mMvS48s

Clover Health regains Nasdaq listing standard complianceClover Health regains Nasdaq listing standard complianceClover Health regains Nasdaq listing standard compliance

Clover Health regains Nasdaq listing standard compliance

Clover Health will reevaluate share reduction proposals after regaining compliance with the exchange's listing standard.

from Section Page News - Modern Healthcare https://ift.tt/9VscRHm

5 things to know about CMS’ latest hospital star ratings5 things to know about CMS’ latest hospital star ratings5 things to know about CMS’ latest hospital star ratings

5 things to know about CMS’ latest hospital star ratings

A higher percentage of hospitals fell into the one-star and five-star categories this year, though most facilities didn’t see any change in their rating.

from Section Page News - Modern Healthcare https://ift.tt/gXv2sPn

Alignment plans to boost Medicare Advantage benefits after Q2 lossAlignment plans to boost Medicare Advantage benefits after Q2 lossAlignment plans to boost Medicare Advantage benefits after Q2 loss

Alignment plans to boost Medicare Advantage benefits after Q2 loss

Alignment Healthcare’s net loss more than doubled during the second quarter to $28.5 million, or 15 cents per share.

from Section Page News - Modern Healthcare https://ift.tt/mGO4ZEu

Privia enters new state, adds former UnitedHealth CEO to boardPrivia enters new state, adds former UnitedHealth CEO to boardPrivia enters new state, adds former UnitedHealth CEO to board

Privia enters new state, adds former UnitedHealth CEO to board

Physician enablement company Privia Health posted positive financials in the second quarter of 2023. 

from Section Page News - Modern Healthcare https://ift.tt/r2ncSiu

Cigna plans rate hikes amid high ACA risk-adjustment chargesCigna plans rate hikes amid high ACA risk-adjustment chargesCigna plans rate hikes amid high ACA risk-adjustment charges

Cigna plans rate hikes amid high ACA risk-adjustment charges

Cigna's net income declined 6.2% to $1.5 billion in the second quarter, the health insurance company reported Thursday.

from Section Page News - Modern Healthcare https://ift.tt/A352P94

Q&A with VillageMD on Stay Well Care Plans initiativeQ&A with VillageMD on Stay Well Care Plans initiativeQ&A with VillageMD on Stay Well Care Plans initiative

Q&A with VillageMD on Stay Well Care Plans initiative

"This is concierge care for a senior patient without a concierge fee," VillageMD Chief Medical Officer Dr. Stuart Levine said of the company's Stay Well Care Plans offering.

from Section Page News - Modern Healthcare https://ift.tt/TF2bK9e

Amwell sees revenue decline, subscriber churnAmwell sees revenue decline, subscriber churnAmwell sees revenue decline, subscriber churn

Amwell sees revenue decline, subscriber churn

 Part of Amwell's net losses were attributed to a $27.3 million non-cash goodwill impairment charge recorded in the second quarter. 

from Section Page News - Modern Healthcare https://ift.tt/ZynWFO7

Community Health Systems still vying for profitability in Q2Community Health Systems still vying for profitability in Q2Community Health Systems still vying for profitability in Q2

Community Health Systems still vying for profitability in Q2

For-profit Community Health Systems reported a net loss of $38 million, or 29 cents per diluted share, in the second quarter.

from Section Page News - Modern Healthcare https://ift.tt/fWpFHgh

HIMSS sells annual conference to InformaHIMSS sells annual conference to InformaHIMSS sells annual conference to Informa

HIMSS sells annual conference to Informa

The idea to sell the organization’s flagship show had been discussed internally for “a number of years," said HIMSS CEO Hal Wolf. 

from Section Page News - Modern Healthcare https://ift.tt/a4vlCtx

Medicare Advantage growth boosts Humana Q2 profitsMedicare Advantage growth boosts Humana Q2 profitsMedicare Advantage growth boosts Humana Q2 profits

Medicare Advantage growth boosts Humana Q2 profits

Executives said Medicare Advantage utilization rates are beginning to stabilize in the outpatient setting.

from Section Page News - Modern Healthcare https://ift.tt/mUhp324

Prices increase at independent hospitals post-acquisition, research showsPrices increase at independent hospitals post-acquisition, research showsPrices increase at independent hospitals post-acquisition, research shows

Prices increase at independent hospitals post-acquisition, research shows

Average inpatient prices for commercially insured patients rose 5% after health systems acquired an independent hospital, according to the analysis.

from Section Page News - Modern Healthcare https://ift.tt/XCiecUk

CMS sets pay hikes for inpatient, long-term care hospitalsCMS sets pay hikes for inpatient, long-term care hospitalsCMS sets pay hikes for inpatient, long-term care hospitals

CMS sets pay hikes for inpatient, long-term care hospitals

The Centers for Medicare and Medicaid Services also updated the hospital quality reporting program and outlined new health equity initiatives.

from Section Page News - Modern Healthcare https://ift.tt/8Ee40XK

Addus HomeCare threatens market exits over CMS rulesAddus HomeCare threatens market exits over CMS rulesAddus HomeCare threatens market exits over CMS rules

Addus HomeCare threatens market exits over CMS rules

Addus HomeCare reported $14.9 million in net income for the second quarter on Monday, a 31.9% increase from the year-ago period.

from Section Page News - Modern Healthcare https://ift.tt/ifcbV1q

U.S. sues UnitedHealth over 'thousands' of denied claimsU.S. sues UnitedHealth over 'thousands' of denied claimsU.S. sues UnitedHealth over 'thousands' of denied claims

U.S. sues UnitedHealth over 'thousands' of denied claims

A UnitedHealth Group unit denied thousands of emergency department and drug screening claims without reviewing them for medical necessity, the Labor Department alleges in a lawsuit initiated on Monday.

The complaint filed in the U.S. District Court for the Western District of Wisconsin targets UMR, a third-party administrator within the company's UnitedHealthcare subsidiary, and accuses it of violating the Employee Retirement Income Security Act of 1974. The Labor Department alleges UMR "simply denied" claims without assessing their merit.

UnitedHealth Group, which touts UMR as the largest third-party administrator of group health plans covering more than 5 million employees and dependents, did not immediately respond to a request for comment. The Labor Department likewise did not immediately respond to a request for comment.

The Labor Department asserts that UMR violated the Affordable Care Act’s “prudent layperson" standard by denying emergency department claims for members of 371 self-funded plans. The company “failed to consider what a person with average knowledge of health and medicine would think at the time the symptoms present themselves" and refused to pay claims that did not include specific codes indicating “True ER” or “Sudden and Severe” diagnoses, according to the lawsuit.

“UMR considers no additional information and conducts no further analysis or review of the claim before the initial denial,” the Labor Department alleges.

From August 2015 to August 2018, UMR denied all urine drug screening claims without conducting medically necessity reviews, the complaint says. UMR subsequently modified its claims review process to allow coverage of some urine drug screenings performed in emergency settings, according to the Labor Department.

In October 2019, UMR also changed its practices by demanding additional medical records from providers rather than deeming claims medically unnecessary without spelling out what kind of information it needed for appeals or why, the government alleges.

The Labor Department wants the court to order UMR to reprocess all of the claims in question, formulate new processes for reviewing emergency department and urine drug screening claims, provide and any additional relief the judge deems equitable.

from Section Page News - Modern Healthcare https://ift.tt/boaV8OU

Amazon brings direct-to-consumer telehealth to all 50 states Amazon brings direct-to-consumer telehealth to all 50 states Amazon brings direct-to-consumer telehealth to all 50 states

Amazon brings direct-to-consumer telehealth to all 50 states

The direct-to-consumer telehealth service gives users access to third-party providers for non-urgent health conditions ranging from pink eye to urinary tract infections.

from Section Page News - Modern Healthcare https://ift.tt/tZ0AI6i

Midwest hospital M&A market heats up, but faces policy hurdlesMidwest hospital M&A market heats up, but faces policy hurdlesMidwest hospital M&A market heats up, but faces policy hurdles

Midwest hospital M&A market heats up, but faces policy hurdles

Hospital M&A advisers expect more consolidation, but health systems may be limited by opposition from state officials.

from Section Page News - Modern Healthcare https://ift.tt/ah5Yb6y

Opinion: Start at the top to address structural inequityOpinion: Start at the top to address structural inequityOpinion: Start at the top to address structural inequity

Opinion: Start at the top to address structural inequity

Providers, payers, purchasers and other organizations have plenty of opportunities to further dismantle bias, write two healthcare leaders.

from Section Page News - Modern Healthcare https://ift.tt/DAKourm

EEOC files race discrimination suit against home health agencyEEOC files race discrimination suit against home health agencyEEOC files race discrimination suit against home health agency

EEOC files race discrimination suit against home health agency

Federal authorities allege the home health agency Four Seasons broke the law by acceding to patients demanding not to be treated by Black and Hispanic employees.

from Section Page News - Modern Healthcare https://ift.tt/uGZ07cg

CMS to test dementia care model for caregivers, patientsCMS to test dementia care model for caregivers, patientsCMS to test dementia care model for caregivers, patients

CMS to test dementia care model for caregivers, patients

The Guiding an Improved Dementia Experience Model will offer providers and community-based organizations enhanced payments to connect patients to services.

from Section Page News - Modern Healthcare https://ift.tt/U8jokOZ

Merger failure post-mortem: What's next for Fairview and Sanford?Merger failure post-mortem: What's next for Fairview and Sanford?Merger failure post-mortem: What's next for Fairview and Sanford?

Merger failure post-mortem: What's next for Fairview and Sanford?

Fairview, which continues to report operating losses, will be compelled to find another partner to stabilize its financial situation, industry observers said.

from Section Page News - Modern Healthcare https://ift.tt/cSjfe45

Traditional weight loss docs wary of ‘drive-through’ GLP-1 providers Traditional weight loss docs wary of ‘drive-through’ GLP-1 providers Traditional weight loss docs wary of ‘drive-through’ GLP-1 providers

Traditional weight loss docs wary of ‘drive-through’ GLP-1 providers

The popularity of GLP-1s and growing numbers of telehealth companies have combined to bring more patients into traditional weight loss clinics looking for the medications.

from Section Page News - Modern Healthcare https://ift.tt/kwmInz3

Hospices get higher-than-expected Medicare pay hikeHospices get higher-than-expected Medicare pay hikeHospices get higher-than-expected Medicare pay hike

Hospices get higher-than-expected Medicare pay hike

The Centers for Medicare and Medicaid Services gave hospice providers a reimbursement bump for next year, along with a warning about fraud and waste.

from Section Page News - Modern Healthcare https://ift.tt/NaGp2xU

Hospitals look to RVs to help ease rural care burdensHospitals look to RVs to help ease rural care burdensHospitals look to RVs to help ease rural care burdens

Hospitals look to RVs to help ease rural care burdens

Medical and RV industry professionals say hospitals offering RV parking are easing access to healthcare for some patients driving long distances for treatment.

from Section Page News - Modern Healthcare https://ift.tt/EpzyWM1

Centene may lose sole 4-star Medicare Advantage rating, CEO saysCentene may lose sole 4-star Medicare Advantage rating, CEO saysCentene may lose sole 4-star Medicare Advantage rating, CEO says

Centene may lose sole 4-star Medicare Advantage rating, CEO says

Centene reported $1.1 billion in net income for the second quarter, a rebound from a $172 million net loss a year before.

from Section Page News - Modern Healthcare https://ift.tt/P3WltZn

Salesforce, OpenAI CEOs invest in diagnostics companySalesforce, OpenAI CEOs invest in diagnostics companySalesforce, OpenAI CEOs invest in diagnostics company

Salesforce, OpenAI CEOs invest in diagnostics company

Salesforce CEO Marc Benioff and OpenAI CEO Sam Altman were among investors in Vital Biosciences, which is developing point-of-care diagnostics.

from Section Page News - Modern Healthcare https://ift.tt/pyJukdO

Nursing homes beefed up staff with PPP loans, study findsNursing homes beefed up staff with PPP loans, study findsNursing homes beefed up staff with PPP loans, study finds

Nursing homes beefed up staff with PPP loans, study finds

Nursing homes that received loans under the Paycheck Protection Program during the COVID-19 pandemic used the funds to boost staff hours.

from Section Page News - Modern Healthcare https://ift.tt/8YtzsSh

Sanford Health, Fairview Health Services call off proposed mergerSanford Health, Fairview Health Services call off proposed mergerSanford Health, Fairview Health Services call off proposed merger

Sanford Health, Fairview Health Services call off proposed merger

The failed Sanford-Fairview merger attempt marks the second scuttled proposed deal between the nonprofit health systems over the last decade.

from Section Page News - Modern Healthcare https://ift.tt/Yqhbn5c

CMS prior authorization data rules in conflict, AHA, AMA, insurers sayCMS prior authorization data rules in conflict, AHA, AMA, insurers sayCMS prior authorization data rules in conflict, AHA, AMA, insurers say

CMS prior authorization data rules in conflict, AHA, AMA, insurers say

The Centers for Medicare and Medicaid Services must clarify rules on prior authorization data exchanges, the American Hospital Association and others assert.

from Section Page News - Modern Healthcare https://ift.tt/JRMXt7B

Marshfield Clinic, Essentia Health take key step toward mergerMarshfield Clinic, Essentia Health take key step toward mergerMarshfield Clinic, Essentia Health take key step toward merger

Marshfield Clinic, Essentia Health take key step toward merger

The combined health system would have 25 hospitals in Michigan, Minnesota, North Dakota and Wisconsin, a health plan and roughly $6 billion in annual revenue.

from Section Page News - Modern Healthcare https://ift.tt/gwC4BNk

FTC, Surescripts reach proposed settlement in antitrust caseFTC, Surescripts reach proposed settlement in antitrust caseFTC, Surescripts reach proposed settlement in antitrust case

FTC, Surescripts reach proposed settlement in antitrust case

The proposal settles a lawsuit accusing Surescripts of using anticompetitive practices to illegally maintain e-prescribing monopolies.

from Section Page News - Modern Healthcare https://ift.tt/JaSEqGT

Higher patient volumes help boost HCA Healthcare's profits in Q2Higher patient volumes help boost HCA Healthcare's profits in Q2Higher patient volumes help boost HCA Healthcare's profits in Q2

Higher patient volumes help boost HCA Healthcare's profits in Q2

Rising volumes, bolstered by population growth in markets such as Texas and Florida, were "broad-based" across the company's divisions, CEO Sam Hazen said.

from Section Page News - Modern Healthcare https://ift.tt/DBXfFRo

Cigna: Claims review software does not use AI, algorithmsCigna: Claims review software does not use AI, algorithmsCigna: Claims review software does not use AI, algorithms

Cigna: Claims review software does not use AI, algorithms

Cigna released information about its PxDx claims review software after facing allegations the company relies on it to reject batches of patient claims.

from Section Page News - Modern Healthcare https://ift.tt/yhB0K9D

Molina ups profit guidance despite Medicaid, Medicare pressures Molina ups profit guidance despite Medicaid, Medicare pressures Molina ups profit guidance despite Medicaid, Medicare pressures

Molina ups profit guidance despite Medicaid, Medicare pressures

Molina Healthcare posted a 24.6% increase in net income for the second quarter, driven by rising investment income and Medicaid and Medicare premiums. 

from Section Page News - Modern Healthcare https://ift.tt/zQnfNer

Payment concerns not stopping new hospital-at-home programsPayment concerns not stopping new hospital-at-home programsPayment concerns not stopping new hospital-at-home programs

Payment concerns not stopping new hospital-at-home programs

Hospital-at-home is attracting new providers despite uncertainty surrounding future Medicare reimbursement for the services.

from Section Page News - Modern Healthcare https://ift.tt/KFDp6kq

Key House, Senate committees advance PBM reform billsKey House, Senate committees advance PBM reform billsKey House, Senate committees advance PBM reform bills

Key House, Senate committees advance PBM reform bills

Senate Finance and House Ways and Means committees approve legislation that would increase oversight of pharmacy benefit managers. 

from Section Page News - Modern Healthcare https://ift.tt/dcubhnB

Headspace Health closes $105M debt facility weeks after layoffsHeadspace Health closes $105M debt facility weeks after layoffsHeadspace Health closes $105M debt facility weeks after layoffs

Headspace Health closes $105M debt facility weeks after layoffs

Headspace Health, a digital mental health "unicorn," closed a $105 million senior debt facility Wednesday.

from Section Page News - Modern Healthcare https://ift.tt/Qp87g1j

Amazon launching generative AI tool to power documentation softwareAmazon launching generative AI tool to power documentation softwareAmazon launching generative AI tool to power documentation software

Amazon launching generative AI tool to power documentation software

The product, called AWS HealthScribe, is aimed at enabling software providers to build clinical applications that use speech recognition and generative AI.

from Section Page News - Modern Healthcare https://ift.tt/GJeW1FY

Teladoc Health momentum continues in Q2 Teladoc Health momentum continues in Q2 Teladoc Health momentum continues in Q2

Teladoc Health momentum continues in Q2

Teladoc Health raised its yearly low-end revenue and adjusted earnings before interest, taxes, depreciation and amortization guidance after the virtual care company saw growing revenue in the second quarter.

from Section Page News - Modern Healthcare https://ift.tt/w5NaLEJ

Universal Health Services ups earnings outlook after strong Q2 resultsUniversal Health Services ups earnings outlook after strong Q2 resultsUniversal Health Services ups earnings outlook after strong Q2 results

Universal Health Services ups earnings outlook after strong Q2 results

Universal Health Services said Tuesday it is revising its adjusted earnings per share outlook for 2023 to $9.85 to $10.50.

from Section Page News - Modern Healthcare https://ift.tt/SveHl5M

Hospitals call on Congress to delay ACA Medicaid funding cuts — for the 14th timeHospitals call on Congress to delay ACA Medicaid funding cuts — for the 14th timeHospitals call on Congress to delay ACA Medicaid funding cuts — for the 14th time

Hospitals call on Congress to delay ACA Medicaid funding cuts — for the 14th time

Congress has until October to avert cuts to a Medicaid program intended to support safety-net hospitals.

from Section Page News - Modern Healthcare https://ift.tt/GNBQjH5

Increasing demand spurs GE HealthCare to raise full-year profit forecast Increasing demand spurs GE HealthCare to raise full-year profit forecast Increasing demand spurs GE HealthCare to raise full-year profit forecast

Increasing demand spurs GE HealthCare to raise full-year profit forecast

The Chicago-based company was spun off at the beginning of the year by longtime parent GE.

from Section Page News - Modern Healthcare https://ift.tt/fkVEOcM

AMA, AHIP, NAACOS issue value-based care data-sharing guidelinesAMA, AHIP, NAACOS issue value-based care data-sharing guidelinesAMA, AHIP, NAACOS issue value-based care data-sharing guidelines

AMA, AHIP, NAACOS issue value-based care data-sharing guidelines

As the first action of a new partnership, the American Medical Association, AHIP and the National Association of Accountable Care Organizations have teamed up to issue recommendations for data-sharing among value-based care arrangement participants.

from Section Page News - Modern Healthcare https://ift.tt/ahNq3yk

Community Health Systems to sell three Florida hospitals in $290M dealCommunity Health Systems to sell three Florida hospitals in $290M dealCommunity Health Systems to sell three Florida hospitals in $290M deal

Community Health Systems to sell three Florida hospitals in $290M deal

The for-profit system continues to cut costs by reducing its footprint, which includes nearly 80 hospitals and more than 1,000 other care sites.

from Section Page News - Modern Healthcare https://ift.tt/XphYWrg

Biden administration proposes rules to boost mental health coverageBiden administration proposes rules to boost mental health coverageBiden administration proposes rules to boost mental health coverage

Biden administration proposes rules to boost mental health coverage

The rules would force health insurance companies to study patient outcomes to ensure mental health benefits are administered equally, taking into account provider networks and reimbursement rates and whether prior authorization is required.

from Section Page News - Modern Healthcare https://ift.tt/HpzVDde

Cigna lawsuit over allegations of claims-denying algorithm could be first of manyCigna lawsuit over allegations of claims-denying algorithm could be first of manyCigna lawsuit over allegations of claims-denying algorithm could be first of many

Cigna lawsuit over allegations of claims-denying algorithm could be first of many

Two Cigna members sued the insurer in California federal court Monday, seeking an injunction for the company to stop using the tool.

from Section Page News - Modern Healthcare https://ift.tt/0HU6AD1

Opinion: Preparing the next generation of nurse leadersOpinion: Preparing the next generation of nurse leadersOpinion: Preparing the next generation of nurse leaders

Opinion: Preparing the next generation of nurse leaders

A nursing executive at Jefferson Health discusses which challenges are most crucial to overcome when it comes to investing in clinicians.

from Section Page News - Modern Healthcare https://ift.tt/OCUEv3j

Old is new again? The latest round of health policy proposals reprises existing ideasOld is new again? The latest round of health policy proposals reprises existing ideasOld is new again? The latest round of health policy proposals reprises existing ideas

Old is new again? The latest round of health policy proposals reprises existing ideas

House Republican legislation promises more health insurance options but fewer protections, even as the Biden administration seeks to rein in short-term plans.

from Section Page News - Modern Healthcare https://ift.tt/lBCzJsa

Biggest 340B benefactors provide relatively less uncompensated careBiggest 340B benefactors provide relatively less uncompensated careBiggest 340B benefactors provide relatively less uncompensated care

Biggest 340B benefactors provide relatively less uncompensated care

Hospitals receiving at least $50 million in proposed remedy payments dedicated an estimated 1.33% of their operating costs to uncompensated care, a Modern Healthcare analysis found.

from Section Page News - Modern Healthcare https://ift.tt/JCNB37n

Labor board finds merit in complaints against Chicago-based LGBTQ+ providerLabor board finds merit in complaints against Chicago-based LGBTQ+ providerLabor board finds merit in complaints against Chicago-based LGBTQ+ provider

Labor board finds merit in complaints against Chicago-based LGBTQ+ provider

The National Labor Relations Board will seek a settlement between Howard Brown Health and a union representing more than 60 laid-off workers.

from Section Page News - Modern Healthcare https://ift.tt/KjSFmXw

Rural hospital struggles lead doctors to open their own primary care clinicRural hospital struggles lead doctors to open their own primary care clinicRural hospital struggles lead doctors to open their own primary care clinic

Rural hospital struggles lead doctors to open their own primary care clinic

With the community’s help, former co-workers came together to fill gaps in care left by the loss of doctors and departments at a Gallup, New Mexico, hospital.

from Section Page News - Modern Healthcare https://ift.tt/lemZ3CA

AI, women’s health startups get funding dealsAI, women’s health startups get funding dealsAI, women’s health startups get funding deals

AI, women’s health startups get funding deals

Here are five noteworthy digital health funding deals from this week.

from Section Page News - Modern Healthcare https://ift.tt/KZG952r

FTC rebukes past statements opposing PBM transparencyFTC rebukes past statements opposing PBM transparencyFTC rebukes past statements opposing PBM transparency

FTC rebukes past statements opposing PBM transparency

The Federal Trade Commission advised policymakers not to rely on outdated guidance opposing greater transparency from pharmacy benefit managers.

from Section Page News - Modern Healthcare https://ift.tt/g4vkLeG

Biden administration asks employers to help more workers who lose MedicaidBiden administration asks employers to help more workers who lose MedicaidBiden administration asks employers to help more workers who lose Medicaid

Biden administration asks employers to help more workers who lose Medicaid

Federal officials have estimated that about 3.8 million people who lose Medicaid coverage may qualify for health insurance through their employers.

from Section Page News - Modern Healthcare https://ift.tt/OFTSPVq

Feds warn hospitals, telehealth companies about use of tracking techFeds warn hospitals, telehealth companies about use of tracking techFeds warn hospitals, telehealth companies about use of tracking tech

Feds warn hospitals, telehealth companies about use of tracking tech

Third-party tracking technology is present on 98.6% of hospital websites in the United States, according to one study. 
 

from Section Page News - Modern Healthcare https://ift.tt/yXj2Olp

Desai named CEO of UnitedHealth's Optum HealthDesai named CEO of UnitedHealth's Optum HealthDesai named CEO of UnitedHealth's Optum Health

Desai named CEO of UnitedHealth's Optum Health

Dr. Amar Desai returns to UnitedHealth Group subsidiary Optum following a brief stint at CVS Health.

from Section Page News - Modern Healthcare https://ift.tt/ZCWOhmF

Merger guidelines update would increase scrutiny of healthcare dealsMerger guidelines update would increase scrutiny of healthcare dealsMerger guidelines update would increase scrutiny of healthcare deals

Merger guidelines update would increase scrutiny of healthcare deals

The proposed guidelines "would result in many more transactions being subject to higher scrutiny," an antitrust attorney said. 

from Section Page News - Modern Healthcare https://ift.tt/m0Fknhd

Elevance Health reports higher profits, stable medical costsElevance Health reports higher profits, stable medical costsElevance Health reports higher profits, stable medical costs

Elevance Health reports higher profits, stable medical costs

The company's health insurance business was responsible for the lion's share of its growth, with operating gain driven by commercial premium increases and boosts in enrollment.

from Section Page News - Modern Healthcare https://ift.tt/7Ao1Xus

Health systems' margins recovering, but face new threats: analystsHealth systems' margins recovering, but face new threats: analystsHealth systems' margins recovering, but face new threats: analysts

Health systems' margins recovering, but face new threats: analysts

The move to providing more care at home could pose challenges for some hospital-heavy systems, experts said.

from Section Page News - Modern Healthcare https://ift.tt/qm2ypF3

Tracking closures, layoffs in healthcare: Allina Health to lay off roughly 350 employeesTracking closures, layoffs in healthcare: Allina Health to lay off roughly 350 employeesTracking closures, layoffs in healthcare: Allina Health to lay off roughly 350 employees

Tracking closures, layoffs in healthcare: Allina Health to lay off roughly 350 employees

Follow the latest layoffs and closures from providers, insurers and other industry players here.

from Section Page News - Modern Healthcare https://ift.tt/o6iatsG

Outcome Health execs want their fraud convictions overturned. Here's their argument.Outcome Health execs want their fraud convictions overturned. Here's their argument.Outcome Health execs want their fraud convictions overturned. Here's their argument.

Outcome Health execs want their fraud convictions overturned. Here's their argument.

Outcome Health co-founders Rishi Shah and Shradha Agarwal are taking a novel tack.

from Section Page News - Modern Healthcare https://ift.tt/q8Bkr7M

Ochsner, Novant partner on primary care clinics in SoutheastOchsner, Novant partner on primary care clinics in SoutheastOchsner, Novant partner on primary care clinics in Southeast

Ochsner, Novant partner on primary care clinics in Southeast

The venture is the latest effort by providers and payers to capture the lucrative healthcare market of aging adults.

from Section Page News - Modern Healthcare https://ift.tt/3fY2Jyw

Joint Commission CEO talks forthcoming revisions to standardsJoint Commission CEO talks forthcoming revisions to standardsJoint Commission CEO talks forthcoming revisions to standards

Joint Commission CEO talks forthcoming revisions to standards

President and CEO Dr. Jonathan Perlin joined Modern Healthcare to discuss the accrediting organization's goals as it prepares to announce more revisions.

from Section Page News - Modern Healthcare https://ift.tt/mDJ6K2R

HCA hit with lawsuits following massive data breachHCA hit with lawsuits following massive data breachHCA hit with lawsuits following massive data breach

HCA hit with lawsuits following massive data breach

Days after HCA disclosed one of the largest data breaches on record, patients are filing lawsuits against the for-profit system

from Section Page News - Modern Healthcare https://ift.tt/gXpUHhi

Proposed cuts to Medicare physician payments spark calls for overhaulProposed cuts to Medicare physician payments spark calls for overhaulProposed cuts to Medicare physician payments spark calls for overhaul

Proposed cuts to Medicare physician payments spark calls for overhaul

The Centers for Medicare and Medicaid Services proposed reducing payment rates under the physician fee schedule by 1.25% next year.

from Section Page News - Modern Healthcare https://ift.tt/3DylnsP

The challenges facing emergency departmentsThe challenges facing emergency departmentsThe challenges facing emergency departments

The challenges facing emergency departments

Two health industry leaders discuss what they see as the most critical workforce issues in emergency medicine.

from Section Page News - Modern Healthcare https://ift.tt/Zd0bDTl

Optum, UnitedHealth profits up despite higher Medicare Advantage costsOptum, UnitedHealth profits up despite higher Medicare Advantage costsOptum, UnitedHealth profits up despite higher Medicare Advantage costs

Optum, UnitedHealth profits up despite higher Medicare Advantage costs

UnitedHealth Group exceeded second-quarter earnings expectations despite its Medicare Advantage members continuing to report higher-than-anticipated medical costs.

from Section Page News - Modern Healthcare https://ift.tt/VcSzWlo

Funding recap: AI-enabled drug discovery heats upFunding recap: AI-enabled drug discovery heats upFunding recap: AI-enabled drug discovery heats up

Funding recap: AI-enabled drug discovery heats up

Nvidia, Northwell Health and others saw an influx in digital health dollars this week.

from Section Page News - Modern Healthcare https://ift.tt/VaI4Wln

CMS issues hospital outpatient, ambulatory surgical center pay ruleCMS issues hospital outpatient, ambulatory surgical center pay ruleCMS issues hospital outpatient, ambulatory surgical center pay rule

CMS issues hospital outpatient, ambulatory surgical center pay rule

Medicare will pay 2.8% more for hospital outpatient and ambulatory surgical care in 2024 under a draft regulation the American Hospital Association says is inadequate.

from Section Page News - Modern Healthcare https://ift.tt/qhSi9Ip

New York gives stipulations for controversial Mount Sinai mergerNew York gives stipulations for controversial Mount Sinai mergerNew York gives stipulations for controversial Mount Sinai merger

New York gives stipulations for controversial Mount Sinai merger

They include establishing stakeholder communication and community engagement plans

from Section Page News - Modern Healthcare https://ift.tt/A7nNzJ3

Health Care Service Corp. using AI for prior authorizationHealth Care Service Corp. using AI for prior authorizationHealth Care Service Corp. using AI for prior authorization

Health Care Service Corp. using AI for prior authorization

The parent of Blue Cross & Blue Shield of Illinois promises it will make the approval process for many procedures quicker and easier for both patients and providers.

from Section Page News - Modern Healthcare https://ift.tt/8nXzCqt

UCHealth, Parkview deal hits roadblock due to 'regulatory matters'UCHealth, Parkview deal hits roadblock due to 'regulatory matters'UCHealth, Parkview deal hits roadblock due to 'regulatory matters'

UCHealth, Parkview deal hits roadblock due to 'regulatory matters'

UCHealth pledged to invest roughly $200 million in Parkview and the surrounding community.

 

from Section Page News - Modern Healthcare https://ift.tt/xIOHrSd

Fewer physicians are owning practices. Here's why.Fewer physicians are owning practices. Here's why.Fewer physicians are owning practices. Here's why.

Fewer physicians are owning practices. Here's why.

Medical practices are getting larger and physicians are less likely to own them, the report found.

from Section Page News - Modern Healthcare https://ift.tt/eQdgjfN

New Hampshire, hospitals resolve lawsuit on holding psychiatric patients in emergency roomsNew Hampshire, hospitals resolve lawsuit on holding psychiatric patients in emergency roomsNew Hampshire, hospitals resolve lawsuit on holding psychiatric patients in emergency rooms

New Hampshire, hospitals resolve lawsuit on holding psychiatric patients in emergency rooms

On Wednesday, HHS said it would waive its right to appeal the order, while the hospitals agreed to drop similar lawsuits in state and federal court.

from Section Page News - Modern Healthcare https://ift.tt/UdIKr6m

HonorHealth to buy 26 FastMed urgent care centers in Phoenix areaHonorHealth to buy 26 FastMed urgent care centers in Phoenix areaHonorHealth to buy 26 FastMed urgent care centers in Phoenix area

HonorHealth to buy 26 FastMed urgent care centers in Phoenix area

Acquiring the urgent care centers will help improve patient access by more closely aligning those sites with HonorHealth's other facilities, CEO Todd LaPorte said.

from Section Page News - Modern Healthcare https://ift.tt/TPZJh9W

Outcome Health founder still spends lavishly despite asset freeze, feds sayOutcome Health founder still spends lavishly despite asset freeze, feds sayOutcome Health founder still spends lavishly despite asset freeze, feds say

Outcome Health founder still spends lavishly despite asset freeze, feds say

Prosecutors cite a nearly $5,000 dinner at Alinea during his fraud trial as reason to worry about assets being frittered away.

from Section Page News - Modern Healthcare https://ift.tt/LHgz68I

Aspirus Health, St. Luke's Duluth plan to combineAspirus Health, St. Luke's Duluth plan to combineAspirus Health, St. Luke's Duluth plan to combine

Aspirus Health, St. Luke's Duluth plan to combine

A deal would expand Aspirus’ 17-hospital network to Minnesota, while St. Luke’s Duluth would increase its borrowing capacity and gain access to Aspirus’ health plan.

from Section Page News - Modern Healthcare https://ift.tt/35wFCJb

Women leaders in healthcare to gather in Chicago next monthWomen leaders in healthcare to gather in Chicago next monthWomen leaders in healthcare to gather in Chicago next month

Women leaders in healthcare to gather in Chicago next month

Modern Healthcare's Women Leaders in Healthcare Conference and Gala will take place Aug. 9-11 at Hilton Chicago.

from Section Page News - Modern Healthcare https://ift.tt/EuFJzye

HHS proposes to reinstate Obama-era nondiscrimination policiesHHS proposes to reinstate Obama-era nondiscrimination policiesHHS proposes to reinstate Obama-era nondiscrimination policies

HHS proposes to reinstate Obama-era nondiscrimination policies

The proposed rule would reinstate an Obama-era policy that was thrown out during the Trump administration.

from Section Page News - Modern Healthcare https://ift.tt/oN7xRVC

UVA Health continues statewide expansion with Riverside partnershipUVA Health continues statewide expansion with Riverside partnershipUVA Health continues statewide expansion with Riverside partnership

UVA Health continues statewide expansion with Riverside partnership

UVA Health will acquire a 5% ownership stake in Riverside Health System, which operates four acute-care hospitals in eastern Virginia. 

from Section Page News - Modern Healthcare https://ift.tt/iqOUcXp

As nonprofit hospitals bring in big tax breaks, states scrutinize their required charity spendingAs nonprofit hospitals bring in big tax breaks, states scrutinize their required charity spendingAs nonprofit hospitals bring in big tax breaks, states scrutinize their required charity spending

As nonprofit hospitals bring in big tax breaks, states scrutinize their required charity spending

Nonprofit hospitals avoid paying taxes if they provide community benefits such as charity care. More states are scrutinizing that trade-off.

from Section Page News - Modern Healthcare https://ift.tt/SHpWF0u

Specialty health systems pursue mergers partnershipsSpecialty health systems pursue mergers partnershipsSpecialty health systems pursue mergers partnerships

Specialty health systems pursue mergers, partnerships

Facilities such as City of Hope, Phoenix Children’s Hospital and UVA Health are acquiring or building hospitals within their respective states and beyond.

from Section Page News - Modern Healthcare https://ift.tt/usMxTmw

Insurance companies on the hook for record risk-adjustment paymentInsurance companies on the hook for record risk-adjustment paymentInsurance companies on the hook for record risk-adjustment payment

Insurance companies on the hook for record risk-adjustment payment

Among for-profit carriers, Bright Health owes the largest risk-adjustment sum of $1.9 billion and Centene is poised to recoup the biggest amount at $782.2 million. 

from Section Page News - Modern Healthcare https://ift.tt/ZRIVQm9

HCA Healthcare reports data breach possibly affecting 11M patientsHCA Healthcare reports data breach possibly affecting 11M patientsHCA Healthcare reports data breach possibly affecting 11M patients

HCA Healthcare reports data breach possibly affecting 11M patients

The Nashville, Tennessee-based health system said exposed information includes patient names, locations, contact information and birth dates.

from Section Page News - Modern Healthcare https://ift.tt/sFAxDch

What happens when a health insurance company failsWhat happens when a health insurance company failsWhat happens when a health insurance company fails

What happens when a health insurance company fails

Friday Health Plans and Bright Health Group have flopped as health insurance companies. Their troubles are causing ripple effects throughout the healthcare system.

from Section Page News - Modern Healthcare https://ift.tt/aCcnJ7x

Federal agencies seek answers on medical payment productsFederal agencies seek answers on medical payment productsFederal agencies seek answers on medical payment products

Federal agencies seek answers on medical payment products

The inquiry will focus on how medical credit cards impact patients’ finances and why providers promote them.

from Section Page News - Modern Healthcare https://ift.tt/6Ndw37c

Hospitals to receive $9 billion under proposed 340B remedyHospitals to receive $9 billion under proposed 340B remedyHospitals to receive $9 billion under proposed 340B remedy

Hospitals to receive $9 billion under proposed 340B remedy

Some 1,600 affected 340B-covered hospitals would receive the $9 billion payment that looks to offset the 340B reimbursement reductions the Supreme Court deemed unlawful. 

from Section Page News - Modern Healthcare https://ift.tt/z3sKFXe

Judge dismisses lawsuit over Teladoc-Livongo mergerJudge dismisses lawsuit over Teladoc-Livongo mergerJudge dismisses lawsuit over Teladoc-Livongo merger

Judge dismisses lawsuit over Teladoc-Livongo merger

Judge Denise Cote ruled that many of the statements made by Teladoc executives were general expressions of optimism, rather than intentionally misleading.

from Section Page News - Modern Healthcare https://ift.tt/JRyEAH8

HHS proposes restoring limits on short-term health insuranceHHS proposes restoring limits on short-term health insuranceHHS proposes restoring limits on short-term health insurance

HHS proposes restoring limits on short-term health insurance

The Biden administration aims to roll back Trump-era regulations allowing consumers to enroll in short-term, limited-duration health plans for up to 364 days.

from Section Page News - Modern Healthcare https://ift.tt/gSsXWIe

Biden launches a new push to limit healthcare costsBiden launches a new push to limit healthcare costsBiden launches a new push to limit healthcare costs

Biden launches a new push to limit healthcare costs

Gearing up for his 2024 reelection campaign as inflation remains a dominant concern for voters, President Joe Biden has emphasized his policies to help families manage their expenses.

from Section Page News - Modern Healthcare https://ift.tt/aiCxhUK

Oracle Health's chairman on Cerner layoffs the renegotiated VA dealOracle Health's chairman on Cerner layoffs the renegotiated VA dealOracle Health's chairman on Cerner layoffs the renegotiated VA deal

Oracle Health's chairman on Cerner layoffs, the renegotiated VA deal

Dr. David Feinberg said he appreciates that Oracle has a certain impatience with how fast things can get fixed.

from Section Page News - Modern Healthcare https://ift.tt/6OyRLkp

ATI Physical Therapy could lose NYSE listing as stock price tanksATI Physical Therapy could lose NYSE listing as stock price tanksATI Physical Therapy could lose NYSE listing as stock price tanks

ATI Physical Therapy could lose NYSE listing as stock price tanks

ATI Physical Therapy went public in a SPAC deal in June 2021.

from Section Page News - Modern Healthcare https://ift.tt/XwQyAd1

Home health association sues CMS HHS over proposed payment cutsHome health association sues CMS HHS over proposed payment cutsHome health association sues CMS HHS over proposed payment cuts

Home health association sues CMS, HHS over proposed payment cuts

The National Association for Home Care and Hospice is challenging a proposal to reduce provider payments by $375 million in 2024.

from Section Page News - Modern Healthcare https://ift.tt/ueOSXhl

Medicare Advantage quality bonus program needs reform: Urban InstituteMedicare Advantage quality bonus program needs reform: Urban InstituteMedicare Advantage quality bonus program needs reform: Urban Institute

Medicare Advantage quality bonus program needs reform: Urban Institute

MedPAC and other industry stakeholders have urged CMS to reform its quality bonus program. 

from Section Page News - Modern Healthcare https://ift.tt/TlN2iu8

Abeona Therapeutics to launch gene therapy with $25M in fundraisingAbeona Therapeutics to launch gene therapy with $25M in fundraisingAbeona Therapeutics to launch gene therapy with $25M in fundraising

Abeona Therapeutics to launch gene therapy with $25M in fundraising

The clinical-stage biopharmaceutical firm based in Cleveland said it raised the fund from 'select existing investors' to commercialize its EB-101 cell therapy.

from Section Page News - Modern Healthcare https://ift.tt/Gq12ovN

Maternal deaths in US more than doubled over 2 decades: studyMaternal deaths in US more than doubled over 2 decades: studyMaternal deaths in US more than doubled over 2 decades: study

Maternal deaths in US more than doubled over 2 decades: study

Researchers looked at maternal deaths between 1999 and 2019 — but not the pandemic spike — for every state and five racial and ethnic groups.

from Section Page News - Modern Healthcare https://ift.tt/mOgHj5b

Q&A: Elevance food as medicine director on nutrition's role in healthQ&A: Elevance food as medicine director on nutrition's role in healthQ&A: Elevance food as medicine director on nutrition's role in health

Q&A: Elevance food as medicine director on nutrition's role in health

Elevance Health’s first food as medicine director discusses the insurance company’s goal to address chronic disease through the new position.

from Section Page News - Modern Healthcare https://ift.tt/Erk3WCM

How often do health insurers deny claims? No one knowsHow often do health insurers deny claims? No one knowsHow often do health insurers deny claims? No one knows

How often do health insurers deny claims? No one knows

Insurers’ denial rates — a critical measure of how reliably they pay for customers’ care — remain mostly secret to the public.

from Section Page News - Modern Healthcare https://ift.tt/WfoFTUq

Best Buy Health president shares growth plansBest Buy Health president shares growth plansBest Buy Health president shares growth plans

Best Buy Health president shares growth plans

Best Buy Health President Deborah Di Sanzo discusses why the company sees big opportunities in enabling care delivery. 

from Section Page News - Modern Healthcare https://ift.tt/0Ks6jIA

Headspace Health lays off 181 employees Headspace Health lays off 181 employees Headspace Health lays off 181 employees

Headspace Health lays off 181 employees

This is the mental health company’s second round of layoffs in the past year. 

from Section Page News - Modern Healthcare https://ift.tt/X0BrkQn

CMS proposes 2.2% Medicare pay cut for home health providersCMS proposes 2.2% Medicare pay cut for home health providersCMS proposes 2.2% Medicare pay cut for home health providers

CMS proposes 2.2% Medicare pay cut for home health providers

Home health industry groups blasted the proposed Medicare payment rule, contending that a flawed methodology would cause financial struggles and curtail access to care.

from Section Page News - Modern Healthcare https://ift.tt/xiPrtVW

Bright Health sells last insurance asset to Molina for $600MBright Health sells last insurance asset to Molina for $600MBright Health sells last insurance asset to Molina for $600M

Bright Health sells last insurance asset to Molina for $600M

Bright Health's deal to divest its California Medicare Advantage business to Molina Healthcare marks the end of its insurance operations.

from Section Page News - Modern Healthcare https://ift.tt/0gHl129

Funding recap: Y Combinator invests in virtual obesity clinic Funding recap: Y Combinator invests in virtual obesity clinic Funding recap: Y Combinator invests in virtual obesity clinic

Funding recap: Y Combinator invests in virtual obesity clinic

Y Combinator, the startup accelerator that helped produce Airbnb and Instacart, is investing in virtual obesity clinic Alfie Health. 

from Section Page News - Modern Healthcare https://ift.tt/yq0ioZY

Finance execs talk claim denials looming recession at HFMA conferenceFinance execs talk claim denials looming recession at HFMA conferenceFinance execs talk claim denials looming recession at HFMA conference

Finance execs talk claim denials, looming recession at HFMA conference

Revenue cycle management, technology and economic uncertainty were major themes at the Healthcare Financial Management Association conference in Nashville, Tennessee, this week.

from Section Page News - Modern Healthcare https://ift.tt/yHfTIi2

Healthcare industry reacts to affirmative action rulingHealthcare industry reacts to affirmative action rulingHealthcare industry reacts to affirmative action ruling

Healthcare industry reacts to affirmative action ruling

The Supreme Court has ruled that universities may no longer consider race in admissions, potentially disrupting efforts to diversify the healthcare workforce.

from Section Page News - Modern Healthcare https://ift.tt/Ss61VZL

Healthcare costs to grow 7% next year: PwCHealthcare costs to grow 7% next year: PwCHealthcare costs to grow 7% next year: PwC

Healthcare costs to grow 7% next year: PwC

Healthcare costs are expected to rise in 2024 as providers manage higher expenses and seek rate increases during contract negotiations with insurers.

from Section Page News - Modern Healthcare https://ift.tt/upN1LJc

DOJ announces charges in massive healthcare fraud crackdownDOJ announces charges in massive healthcare fraud crackdownDOJ announces charges in massive healthcare fraud crackdown

DOJ announces charges in massive healthcare fraud crackdown

The Justice Department has charged dozens of people in several healthcare fraud and prescription drug schemes, including a scheme totaling nearly $1.9 billion.

from Section Page News - Modern Healthcare https://ift.tt/0RZOiu4

Medical supplier Medline names new CEOMedical supplier Medline names new CEOMedical supplier Medline names new CEO

Medical supplier Medline names new CEO

Effective Oct. 1, company veteran Jim Boyle will replace Charlie Mills, who will retire from the role but continue to be on the company’s board as chairman.

from Section Page News - Modern Healthcare https://ift.tt/xTzhuL9

Augmedics gets $82.5M in funding round for AR spinal surgery toolAugmedics gets $82.5M in funding round for AR spinal surgery toolAugmedics gets $82.5M in funding round for AR spinal surgery tool

Augmedics gets $82.5M in funding round for AR spinal surgery tool

The company has garnered more venture-capital attention than Chicago's seen for a while.

from Section Page News - Modern Healthcare https://ift.tt/Ndrq3i7

Behavioral healthcare moving into the homeBehavioral healthcare moving into the homeBehavioral healthcare moving into the home

Behavioral healthcare moving into the home

A growing number of home health agencies are offering behavioral health services as demand for mental healthcare grows.

from Section Page News - Modern Healthcare https://ift.tt/4mpA6GS

New payment models test ability to identify underserved communitiesNew payment models test ability to identify underserved communitiesNew payment models test ability to identify underserved communities

New payment models test ability to identify underserved communities

As the Centers for Medicare and Medicaid Services seeks to invest more resources in disadvantaged populations, providers are concerned the tool it uses to assess social risk misses the mark.

from Section Page News - Modern Healthcare https://ift.tt/PIS1eXA

Healthcare deals may slow under FTC proposalHealthcare deals may slow under FTC proposalHealthcare deals may slow under FTC proposal

Healthcare deals may slow under FTC proposal

The Federal Trade Commission proposed, among other things, requiring merging parties to disclose minority investors to potentially weed out conflicts of interest.

from Section Page News - Modern Healthcare https://ift.tt/Udc9jtB

Virginia Mason Franciscan Health partners with OptumVirginia Mason Franciscan Health partners with OptumVirginia Mason Franciscan Health partners with Optum

Virginia Mason Franciscan Health partners with Optum

The partnership will broaden Virginia Mason’s reach, and Optum’s analytical expertise will help direct patients to the most appropriate care settings.

from Section Page News - Modern Healthcare https://ift.tt/b0gZans

Walgreens earnings 2023: Healthcare segment's growth disappointingWalgreens earnings 2023: Healthcare segment's growth disappointingWalgreens earnings 2023: Healthcare segment's growth disappointing

Walgreens earnings 2023: Healthcare segment's growth disappointing

Walgreens' U.S. healthcare operations reported an adjusted operating loss of $172 million in its fiscal third quarter.

from Section Page News - Modern Healthcare https://ift.tt/q7kEp9T

Joint Commission adding health equity certification programJoint Commission adding health equity certification programJoint Commission adding health equity certification program

Joint Commission adding health equity certification program

The certification and enhanced standards come as The Joint Commission works to overhaul its standards in an effort to refocus hospital safety and quality goals.

from Section Page News - Modern Healthcare https://ift.tt/AdGwWrO

Epic Nuance bring more GPT-4 tools to EHRsEpic Nuance bring more GPT-4 tools to EHRsEpic Nuance bring more GPT-4 tools to EHRs

Epic, Nuance bring more GPT-4 tools to EHRs

Nuance said it plans to add the capability for all of Epic's EHR users sometime in the first quarter of 2024.

from Section Page News - Modern Healthcare https://ift.tt/tgV2XzG

CMS proposes pay bump for dialysis providersCMS proposes pay bump for dialysis providersCMS proposes pay bump for dialysis providers

CMS proposes pay bump for dialysis providers

The agency also wants providers to report patient-level resource usage, discarded drug amounts and health equity measures.

from Section Page News - Modern Healthcare https://ift.tt/cdzIG4U

Sotera Health finalizes settlements in Illinois ethylene oxide casesSotera Health finalizes settlements in Illinois ethylene oxide casesSotera Health finalizes settlements in Illinois ethylene oxide cases

Sotera Health finalizes settlements in Illinois ethylene oxide cases

Sotera Health Co. of Ohio said it has finalized settlements of ethylene oxide claims against its Sterigenics subsidiary in Cook County, Illinois. 

from Section Page News - Modern Healthcare https://ift.tt/3KNW8Va

UnitedHealth Group's Optum to acquire AmedisysUnitedHealth Group's Optum to acquire AmedisysUnitedHealth Group's Optum to acquire Amedisys

UnitedHealth Group's Optum to acquire Amedisys

Amedisys announced Monday it will accept an all-cash offer to be acquired by Optum, a unit of UnitedHealth Group.

from Section Page News - Modern Healthcare https://ift.tt/o9xzFa8

New research may sway physician-owned hospital debateNew research may sway physician-owned hospital debateNew research may sway physician-owned hospital debate

New research may sway physician-owned hospital debate

Estimated prices negotiated between hospitals and commercial insurers for eight procedures were 33.7% lower at physician-owned hospitals than traditional hospitals.

from Section Page News - Modern Healthcare https://ift.tt/61DGvZs

Babylon Health to go private leaving shareholders with no pay outBabylon Health to go private leaving shareholders with no pay outBabylon Health to go private leaving shareholders with no pay out

Babylon Health to go private, leaving shareholders with no pay out

The company’s core operating subsidiaries will be transferred to MindMaze, a digital health company focused on brain health.

from Section Page News - Modern Healthcare https://ift.tt/mHn2OtW

Tenet taps AmerisourceBergen exec for CFO roleTenet taps AmerisourceBergen exec for CFO roleTenet taps AmerisourceBergen exec for CFO role

Tenet taps AmerisourceBergen exec for CFO role

Sun Park will serve as executive vice president from July 11 through Dec. 31 before transitioning to the CFO role.

from Section Page News - Modern Healthcare https://ift.tt/C3XHRSZ

Funding roundup: A.I. Medicare Advantage capture investor interestFunding roundup: A.I. Medicare Advantage capture investor interestFunding roundup: A.I. Medicare Advantage capture investor interest

Funding roundup: A.I., Medicare Advantage capture investor interest

Investors are funding companies operating in artificial intelligence, women's health and the Medicare Advantage space.

from Section Page News - Modern Healthcare https://ift.tt/TKzoP8i

Ochsner MD Anderson form oncology partnershipOchsner MD Anderson form oncology partnershipOchsner MD Anderson form oncology partnership

Ochsner, MD Anderson form oncology partnership

Ochsner, a 46-hospital system headquartered in New Orleans, joins seven other health systems that have adopted Houston-based MD Anderson’s oncology standards and treatment plans.

from Section Page News - Modern Healthcare https://ift.tt/cyEIW0x

Drugmaker lobbying group suing over plan to negotiate Medicare drug pricesDrugmaker lobbying group suing over plan to negotiate Medicare drug pricesDrugmaker lobbying group suing over plan to negotiate Medicare drug prices

Drugmaker lobbying group suing over plan to negotiate Medicare drug prices

The Pharmaceutical Research and Manufacturers of America said that the act forces drugmakers to agree to a “government-dictated price."

from Section Page News - Modern Healthcare https://ift.tt/8i6M4z1

More health systems turn to partnerships for hospital-at-homeMore health systems turn to partnerships for hospital-at-homeMore health systems turn to partnerships for hospital-at-home

More health systems turn to partnerships for hospital-at-home

There are 125 systems and 283 hospitals across 37 states approved for hospital-at-home programs, according to the Centers for Medicare and Medicaid Services.

from Section Page News - Modern Healthcare https://ift.tt/BslScTv

Former Providence spinoff DexCare closes $75M Series C funding roundFormer Providence spinoff DexCare closes $75M Series C funding roundFormer Providence spinoff DexCare closes $75M Series C funding round

Former Providence spinoff DexCare closes $75M Series C funding round

The company said it will use the capital to increase specialty care offerings in areas such as orthopedics and oncology.

from Section Page News - Modern Healthcare https://ift.tt/vRX6jYP

Boston Medical Center taps interim CEO for permanent roleBoston Medical Center taps interim CEO for permanent roleBoston Medical Center taps interim CEO for permanent role

Boston Medical Center taps interim CEO for permanent role

Bell joined Boston Medical Center in 2012 as chief operating officer, following a stint at McKinsey & Co., leading the North American payer and provider practice. 

from Section Page News - Modern Healthcare https://ift.tt/KaAjzU0

Judge tosses Express Scripts refill pill mill whistleblower lawsuitJudge tosses Express Scripts refill pill mill whistleblower lawsuitJudge tosses Express Scripts refill pill mill whistleblower lawsuit

Judge tosses Express Scripts ‘refill pill mill’ whistleblower lawsuit

A whistleblower sued Express Scripts alleging the pharmacy benefit manager overcharged the military health program Tricare for surplus drugs from 2009 to 2018.

from Section Page News - Modern Healthcare https://ift.tt/GOPDvsh

Hospital physician practice deals slow in 2023: PwC reportHospital physician practice deals slow in 2023: PwC reportHospital physician practice deals slow in 2023: PwC report

Hospital, physician practice deals slow in 2023: PwC report

Healthcare transactions are showing signs of slowing down, according to data analyzed by the consulting firm PwC.

from Section Page News - Modern Healthcare https://ift.tt/FLc3n5C

Illinois med tech company Surgalign files for bankruptcyIllinois med tech company Surgalign files for bankruptcyIllinois med tech company Surgalign files for bankruptcy

Illinois med tech company Surgalign files for bankruptcy

The maker of tools for spinal surgeries reached a deal with Xtant Medical Holdings to sell its assets and equity interests for $5 million.

from Section Page News - Modern Healthcare https://ift.tt/l6mXEcU

Nominations open for the 100 Most Influential People in HealthcareNominations open for the 100 Most Influential People in HealthcareNominations open for the 100 Most Influential People in Healthcare

Nominations open for the 100 Most Influential People in Healthcare

Modern Healthcare is accepting nominations for its annual ranking of the 100 most influential people in healthcare.

from Section Page News - Modern Healthcare https://ift.tt/yZdtCSA

VC funding digital health deals slow in 2023: PitchbookVC funding digital health deals slow in 2023: PitchbookVC funding digital health deals slow in 2023: Pitchbook

VC funding, digital health deals slow in 2023: Pitchbook

Venture capital funding has a long way to go before it gets back to its peak.

from Section Page News - Modern Healthcare https://ift.tt/iJQo5Gq

Why a new Minnesota law could kill proposed Fairview-Sanford mergerWhy a new Minnesota law could kill proposed Fairview-Sanford mergerWhy a new Minnesota law could kill proposed Fairview-Sanford merger

Why a new Minnesota law could kill proposed Fairview-Sanford merger

Representatives from the University of Minnesota have concerns about the proposed merger, and some say the school is again being excluded from discussions.

from Section Page News - Modern Healthcare https://ift.tt/FBm0aDd

Health systems turn to virtual nursing to close care gapsHealth systems turn to virtual nursing to close care gapsHealth systems turn to virtual nursing to close care gaps

Health systems turn to virtual nursing to close care gaps

Health systems are experimenting to determine which technology solutions and workflows are most effective, while unions raise concerns about patient safety.

from Section Page News - Modern Healthcare https://ift.tt/hNl2H9G

How HealthPartners works to improve outcomes for Black moms in the MidwestHow HealthPartners works to improve outcomes for Black moms in the MidwestHow HealthPartners works to improve outcomes for Black moms in the Midwest

How HealthPartners works to improve outcomes for Black moms in the Midwest

The Minneapolis-based nonprofit provider aims to promote health equity through support groups and classes.

from Section Page News - Modern Healthcare https://ift.tt/ZCquVTB

Cano Health CEO steps down a day after shareholder meeting Cano Health CEO steps down a day after shareholder meeting Cano Health CEO steps down a day after shareholder meeting

Cano Health CEO steps down a day after shareholder meeting

Cano’s chief operating officer Mark Kent will step in as interim CEO as the company’s board searches for a permanent successor.

from Section Page News - Modern Healthcare https://ift.tt/m9inWFB

Medicare Advantage utilization spike hits Humana UnitedHealthMedicare Advantage utilization spike hits Humana UnitedHealthMedicare Advantage utilization spike hits Humana UnitedHealth

Medicare Advantage utilization spike hits Humana, UnitedHealth

Humana and UnitedHealth Group priced for higher-than-anticipated Medicare Advantage utilization in the bids they submitted to the Centers for Medicaid and Medicaid Services for 2024. 

from Section Page News - Modern Healthcare https://ift.tt/oWDytX3

Feds seek to seize $55M from Outcome Health founderFeds seek to seize $55M from Outcome Health founderFeds seek to seize $55M from Outcome Health founder

Feds seek to seize $55M from Outcome Health founder

Prosecutors are going after Outcome Health founder Rishi Shah following his fraud conviction as they now seek the money Shah pocketed from investors and lenders.

from Section Page News - Modern Healthcare https://ift.tt/3nKkSEF

IU Health advances plan to build 44-acre campus in IndianapolisIU Health advances plan to build 44-acre campus in IndianapolisIU Health advances plan to build 44-acre campus in Indianapolis

IU Health advances plan to build 44-acre campus in Indianapolis

The project, which received final board approval in December, will consolidate adult services at IU Health Methodist and IU Health University into one site.

from Section Page News - Modern Healthcare https://ift.tt/sAd1P4i

Ex-Cano Health directors fail to shake up board at shareholder meetingEx-Cano Health directors fail to shake up board at shareholder meetingEx-Cano Health directors fail to shake up board at shareholder meeting

Ex-Cano Health directors fail to shake up board at shareholder meeting

The reelection of Dr. Alan Muney and Kim Rivera thwarts the plan of three former Cano Health directors who seek changes at the company. 

from Section Page News - Modern Healthcare https://ift.tt/NOxLtRS

Inside AdventHealth CEO Terry Shaw's big expansion plansInside AdventHealth CEO Terry Shaw's big expansion plansInside AdventHealth CEO Terry Shaw's big expansion plans

Inside AdventHealth CEO Terry Shaw's big expansion plans

During Shaw’s six-and-a-half-year tenure as CEO, AdventHealth has grown into a $16 billion organization operating 51 hospital campuses and hundreds of care sites.

from Section Page News - Modern Healthcare https://ift.tt/dvKCLlE

Aveanna Healthcare announces exit of CFOAveanna Healthcare announces exit of CFOAveanna Healthcare announces exit of CFO

Aveanna Healthcare announces exit of CFO

The Atlanta-based home healthcare provider has struggled financially over the past several quarters due increased labor costs and headwinds from the COVID-19 pandemic.

from Section Page News - Modern Healthcare https://ift.tt/e4gXNvt

Providers insurers and pharma play blame game on Wegovy shortageProviders insurers and pharma play blame game on Wegovy shortageProviders insurers and pharma play blame game on Wegovy shortage

Providers, insurers and pharma play blame game on Wegovy shortage

Shortages of the weight loss drug Wegovy are expected to persist through September.

from Section Page News - Modern Healthcare https://ift.tt/HQXDnA4

New Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part D

New Senate bill targets PBM fees, rebates under Medicare Part D

The Senate Finance Committee is poised to consider bipartisan legislation that challenges key aspects of how pharmacy benefit managers operate.

from Section Page News - Modern Healthcare https://ift.tt/unNbzdo

U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031

U.S. health spending projected to exceed $7T in 2031

National health expenditures will increase an average of 5.4% each year from 2022 to 2031, according to the latest projections from the Centers for Medicare and Medicaid Services' Office of the Actuary.

from Section Page News - Modern Healthcare https://ift.tt/uGIXsoe

5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit

5 takeaways from Modern Healthcare's ESG summit

Health system executives at Modern Healthcare’s ESG: The Implementation Imperative Summit addressed strategies to reduce carbon emissions and vetting suppliers based on their carbon footprints. 

from Section Page News - Modern Healthcare https://ift.tt/01KonmH

CMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminations

CMS reiterates call to action on Medicaid terminations

The Centers for Medicare and Medicaid Services is urging states to take advantage of federal regulatory flexibilities to ease Medicaid redeterminations and avoid mass disenrollments.

from Section Page News - Modern Healthcare https://ift.tt/2AcszDU

Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit

Hedge fund investor calls for sale of home health provider Enhabit

Arex Capital Management called Enhabit's poor share price "primarily self-inflicted."

from Section Page News - Modern Healthcare https://ift.tt/cS4fOxQ

'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

The pact approved by the 5th U.S. Circuit Court of Appeals preserves — at least for now — cost-free preventive care coverage for millions of Americans.

from Section Page News - Modern Healthcare https://ift.tt/2G5hyHB

AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I.

AMA delegates call for more oversight of A.I.

The AMA previously established three policies on A.I., supporting how it can advance patient care, but also acknowledging the need for increased supervision.

from Section Page News - Modern Healthcare https://ift.tt/BcVTs58

Digital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcy

Digital therapeutics industry looks to move past Pear's bankruptcy

As the digital therapeutics industry deals with a lack of reimbursement pathways, companies like Akili Interactive are taking alternate approaches to growth.

from Section Page News - Modern Healthcare https://ift.tt/iPhLx2E

How insurers fared during the first quarterHow insurers fared during the first quarterHow insurers fared during the first quarter

How insurers fared during the first quarter

UnitedHealth Group was the most profitable insurer and Bright Health Group was the least. Here's how publicly traded insurers fared during 2023's first quarter.

from Section Page News - Modern Healthcare https://ift.tt/BmPd5Lx

HHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS Secretary Xavier Becerra called on governors to make use of the new flexibilities to assist in Medicaid redeterminations and avoid more procedural disenrollments. 

from Section Page News - Modern Healthcare https://ift.tt/bQk7spw

New ad campaign hopes to aid Michigan's healthcare worker shortage New ad campaign hopes to aid Michigan's healthcare worker shortage New ad campaign hopes to aid Michigan's healthcare worker shortage

New ad campaign hopes to aid Michigan's healthcare worker shortage

An ad campaign encouraging people to consider healthcare as a career path looks to make a dent in the industry's acute worker shortage. 

from Section Page News - Modern Healthcare https://ift.tt/VlfTMz5

North Carolina governor signs bill permitting Blue Cross to restructureNorth Carolina governor signs bill permitting Blue Cross to restructureNorth Carolina governor signs bill permitting Blue Cross to restructure

North Carolina governor signs bill permitting Blue Cross to restructure

The new law permits Blue Cross and Blue Shield of North Carolina to transfer assets into a parent holding company.

from Section Page News - Modern Healthcare https://ift.tt/rexKvM2

HHS launches loan repayment program for pediatrician recruitment, retentionHHS launches loan repayment program for pediatrician recruitment, retentionHHS launches loan repayment program for pediatrician recruitment, retention

HHS launches loan repayment program for pediatrician recruitment, retention

In exchange for working three years in a health professional shortage area, eligible pediatric clinicians can earn up to $100,000 to pay off their student loans. 

from Section Page News - Modern Healthcare https://ift.tt/7DJaQZG

CEOs share plans for boosting permanent workforce, expanding careCEOs share plans for boosting permanent workforce, expanding careCEOs share plans for boosting permanent workforce, expanding care

CEOs share plans for boosting permanent workforce, expanding care

Leaders from Virginia Mason Franciscan Health, Essentia Health and MetroHealth discuss their strategies to address staffing shortages and reach more patients.

from Section Page News - Modern Healthcare https://ift.tt/qltO9f2

Henry Ford Health launches its largest fundraising campaign yetHenry Ford Health launches its largest fundraising campaign yetHenry Ford Health launches its largest fundraising campaign yet

Henry Ford Health launches its largest fundraising campaign yet

The hard work of raising money begins as the Detroit health system aims to land donors for its planned $1.8 billion hospital.

from Section Page News - Modern Healthcare https://ift.tt/1k2zmUV

Compromise may mean continued reprieve for 'Obamacare' preventive care mandatesCompromise may mean continued reprieve for 'Obamacare' preventive care mandatesCompromise may mean continued reprieve for 'Obamacare' preventive care mandates

Compromise may mean continued reprieve for 'Obamacare' preventive care mandates

The Biden administration wants a stay order that would keep the coverage broadly available nationwide for HIV prevention and other preventive care.

from Section Page News - Modern Healthcare https://ift.tt/95pJI8b

A.I. a top issue at this weekend's AMA policy meetingA.I. a top issue at this weekend's AMA policy meetingA.I. a top issue at this weekend's AMA policy meeting

A.I. a top issue at this weekend's AMA policy meeting

The AMA House of Delegates will discuss and potentially vote on a wide range of policy proposals, including multiple ones regarding A.I. capabilities.

from Section Page News - Modern Healthcare https://ift.tt/PjHUa6i

Walgreens sells remaining stake in Option Care HealthWalgreens sells remaining stake in Option Care HealthWalgreens sells remaining stake in Option Care Health

Walgreens sells remaining stake in Option Care Health

Walgreens, which acquired infusion provider Option Care Health in 2007, is now fully divested from the company.

from Section Page News - Modern Healthcare https://ift.tt/DtplZWK

6 digital health funding deals this week 6 digital health funding deals this week 6 digital health funding deals this week

6 digital health funding deals this week

Investors included health systems such as Memorial Hermann and UnityPoint Health and big pharmaceutical companies such as Novartis and McKesson. 

from Section Page News - Modern Healthcare https://ift.tt/hMzqGaU

FTC expands PBM probe, orders records from Emisar PharmaFTC expands PBM probe, orders records from Emisar PharmaFTC expands PBM probe, orders records from Emisar Pharma

FTC expands PBM probe, orders records from Emisar Pharma

The Federal Trade Commission has issued compulsory orders to the six largest phamacy benefit managers and three affiliated group purchasing organizations.

from Section Page News - Modern Healthcare https://ift.tt/0LGPyM9

Supreme Court rules Medicaid enrollees can sue statesSupreme Court rules Medicaid enrollees can sue statesSupreme Court rules Medicaid enrollees can sue states

Supreme Court rules Medicaid enrollees can sue states

The Supreme Court overturned a lower court ruling in Health and Hospital Corporation of Marion County v. Talevski that curbed the rights of Medicaid beneficiaries to sue states.

from Section Page News - Modern Healthcare https://ift.tt/lnMjevu

US chemotherapy shortage is leading to treatment complications, cancer centers say US chemotherapy shortage is leading to treatment complications, cancer centers say US chemotherapy shortage is leading to treatment complications, cancer centers say

US chemotherapy shortage is leading to treatment complications, cancer centers say

The National Comprehensive Cancer Network said that nearly all the centers it surveyed late last month dealt with carboplatin and cisplatin shortages.

from Section Page News - Modern Healthcare https://ift.tt/ep9skWv

CMS pilot program aims to boost value-based primary careCMS pilot program aims to boost value-based primary careCMS pilot program aims to boost value-based primary care

CMS pilot program aims to boost value-based primary care

The Centers for Medicare and Medicaid Services advances its value-based care agenda with a new initiative in Colorado, Massachusetts, Minnesota, New Jersey, New York, North Carolina and Washington state.

from Section Page News - Modern Healthcare https://ift.tt/e3liTO9

Cityblock Health cuts 12% of staffCityblock Health cuts 12% of staffCityblock Health cuts 12% of staff

Cityblock Health cuts 12% of staff

As the digital health funding market has shifted downward, companies have begun restructuring. 

from Section Page News - Modern Healthcare https://ift.tt/p6cGJYR

Nominations open for Modern Healthcare's Top Diversity Leaders awardsNominations open for Modern Healthcare's Top Diversity Leaders awardsNominations open for Modern Healthcare's Top Diversity Leaders awards

Nominations open for Modern Healthcare's Top Diversity Leaders awards

The deadline for nominations is Aug. 14. 

from Section Page News - Modern Healthcare https://ift.tt/1EIXd0l

Aetna, Optum to face revived 'dummy code' lawsuitAetna, Optum to face revived 'dummy code' lawsuitAetna, Optum to face revived 'dummy code' lawsuit

Aetna, Optum to face revived 'dummy code' lawsuit

CVS Health's Aetna and UnitedHealth Group's OptumHealth must face a class of nearly 88,000 people who allege the companies violated their fiduciary duties by disguising administrative expenses and medical costs.

from Section Page News - Modern Healthcare https://ift.tt/7kotVOw

SCAN, CareOregon help erase $110M in medical debtSCAN, CareOregon help erase $110M in medical debtSCAN, CareOregon help erase $110M in medical debt

SCAN, CareOregon help erase $110M in medical debt

The companies' $345,000 in grants are the first funds RIP Medical Debt has received directly from health insurance companies.

from Section Page News - Modern Healthcare https://ift.tt/mKFpAvy

Cancer screening, HIV protection costs could grow if ACA loses latest legal battleCancer screening, HIV protection costs could grow if ACA loses latest legal battleCancer screening, HIV protection costs could grow if ACA loses latest legal battle

Cancer screening, HIV protection costs could grow if ACA loses latest legal battle

The Biden administration argued Tuesday the judge's order should remain on hold while it's appealed in order to protect insured individuals' healthcare.

from Section Page News - Modern Healthcare https://ift.tt/nkq6Xxa

Google Cloud, Mayo Clinic make generative AI play Google Cloud, Mayo Clinic make generative AI play Google Cloud, Mayo Clinic make generative AI play

Google Cloud, Mayo Clinic make generative AI play

There's growing enthusiasm for generative AI in healthcare since the introduction of ChatGPT in November. 

from Section Page News - Modern Healthcare https://ift.tt/dJOqCza

Why home is becoming the future for hospitalsWhy home is becoming the future for hospitalsWhy home is becoming the future for hospitals

Why home is becoming the future for hospitals

The COVID-19 pandemic led to an explosion in hospital-at-home, offering hospitals the potential of expanding admissions without adding additional beds.

from Section Page News - Modern Healthcare https://ift.tt/QlfkBID

Health, safety disparities persist in highly rated hospitals: Leapfrog GroupHealth, safety disparities persist in highly rated hospitals: Leapfrog GroupHealth, safety disparities persist in highly rated hospitals: Leapfrog Group

Health, safety disparities persist in highly rated hospitals: Leapfrog Group

Black and Latino patients were more likely to experience adverse safety events than white patients at any hospital, regardless of whether the facility earned an "A" on safety or an "F."

from Section Page News - Modern Healthcare https://ift.tt/wRTJN7v

Trinity Health president speaks on financial problems with new operational solutionsTrinity Health president speaks on financial problems with new operational solutionsTrinity Health president speaks on financial problems with new operational solutions

Trinity Health president speaks on financial problems with new operational solutions

Shannon Striebich, president of Trinity Health Oakland and Trinity Health Livonia, discusses overcoming the current healthcare woes the industry is facing.

from Section Page News - Modern Healthcare https://ift.tt/NBe6pXM

Merck sues federal government, accuses Medicare drug price negotiation plan of 'extortion'Merck sues federal government, accuses Medicare drug price negotiation plan of 'extortion'Merck sues federal government, accuses Medicare drug price negotiation plan of 'extortion'

Merck sues federal government, accuses Medicare drug price negotiation plan of 'extortion'

The drugmaker is seeking to halt the program, which was laid out in the Inflation Reduction Act and is expected to save taxpayers billions of dollars.

from Section Page News - Modern Healthcare https://ift.tt/B3hsUrJ

Former Amazon Health exec on why he left the big tech firmFormer Amazon Health exec on why he left the big tech firmFormer Amazon Health exec on why he left the big tech firm

Former Amazon Health exec on why he left the big tech firm

TJ Parker, who joined venture capital firm Matrix, on what he learned from his time at Amazon and the message that digital health founders aren't getting from investors 

from Section Page News - Modern Healthcare https://ift.tt/ypLtFYM

The Check Up: Bobby Sepucha, Interwell HealthThe Check Up: Bobby Sepucha, Interwell HealthThe Check Up: Bobby Sepucha, Interwell Health

The Check Up: Bobby Sepucha, Interwell Health

Sepucha discusses what's ahead for kidney care and why partnerships are so important to the industry.

from Section Page News - Modern Healthcare https://ift.tt/wj7xYsh

The Check Up: Bobby Sepucha, InterWell HealthThe Check Up: Bobby Sepucha, InterWell HealthThe Check Up: Bobby Sepucha, InterWell Health

The Check Up: Bobby Sepucha, InterWell Health

Sepucha shares his insights on how partnerships can improve patient care and what's ahead for kidney care.

from Section Page News - Modern Healthcare https://ift.tt/eixvGAt

Optum Care Solutions makes all-cash bid for AmedisysOptum Care Solutions makes all-cash bid for AmedisysOptum Care Solutions makes all-cash bid for Amedisys

Optum Care Solutions makes all-cash bid for Amedisys

Optum Care Solutions announced Monday it wants to buy Amedisys in an all-cash deal valued at $3.3 billion.

from Section Page News - Modern Healthcare https://ift.tt/1PK7Rxw

States turn to tech to ease Medicaid redeterminationsStates turn to tech to ease Medicaid redeterminationsStates turn to tech to ease Medicaid redeterminations

States turn to tech to ease Medicaid redeterminations

States such as Arizona, Maryland and Massachusetts are deploying technology solutions to facilitate communications with tens of millions of Medicaid enrollees as states resume eligibility checks.

from Section Page News - Modern Healthcare https://ift.tt/uHFolbM

Capital costs increase for critical-access, acute-care hospitalsCapital costs increase for critical-access, acute-care hospitalsCapital costs increase for critical-access, acute-care hospitals

Capital costs increase for critical-access, acute-care hospitals

Capital costs were likely affected by increased interest rates, supply chain issues and inflationary pressures, said experts.

from Section Page News - Modern Healthcare https://ift.tt/Ywg6mE0

Nonprofit helps hospitals connect patients with healthy foodNonprofit helps hospitals connect patients with healthy foodNonprofit helps hospitals connect patients with healthy food

Nonprofit helps hospitals connect patients with healthy food

About Fresh allows eligible families to receive a prepaid debit card to purchase fresh fruits and vegetables at grocery stores in the nonprofit's network.

from Section Page News - Modern Healthcare https://ift.tt/thdrZFP

Q&A: Oak Street Health CEO on growth plans after CVS Health dealQ&A: Oak Street Health CEO on growth plans after CVS Health dealQ&A: Oak Street Health CEO on growth plans after CVS Health deal

Q&A: Oak Street Health CEO on growth plans after CVS Health deal

Oak Street Health CEO Mike Pykosz spoke with Modern Healthcare about how new owner CVS Health's resources will grow the primary care provider's business.

from Section Page News - Modern Healthcare https://ift.tt/2Wjf6iR

Debt ceiling agreement impacts health programs, but it could've been worseDebt ceiling agreement impacts health programs, but it could've been worseDebt ceiling agreement impacts health programs, but it could've been worse

Debt ceiling agreement impacts health programs, but it could've been worse

A bipartisan deal to raise the government’s borrowing limit dashed Republican hopes for new Medicaid work requirements and other health spending cuts. 

from Section Page News - Modern Healthcare https://ift.tt/rOkLXNY

BJC-Saint Luke's planned deal signals latest statewide merger playBJC-Saint Luke's planned deal signals latest statewide merger playBJC-Saint Luke's planned deal signals latest statewide merger play

BJC-Saint Luke's planned deal signals latest statewide merger play

The combination of St. Louis-based BJC and Kansas City, Missouri-based Saint Luke’s would form a system that spans Missouri, mirroring other statewide expansions. 

from Section Page News - Modern Healthcare https://ift.tt/lFQioC7

Health tech startup Axuall raises $20M in Series B roundHealth tech startup Axuall raises $20M in Series B roundHealth tech startup Axuall raises $20M in Series B round

Health tech startup Axuall raises $20M in Series B round

Cleveland-based Axuall has developed technology enabling healthcare providers to share authenticated credentials and qualifications in real-time.

from Section Page News - Modern Healthcare https://ift.tt/2JVdRTs

Friday Health Plans shutting down amid financial shortfallFriday Health Plans shutting down amid financial shortfallFriday Health Plans shutting down amid financial shortfall

Friday Health Plans shutting down amid financial shortfall

This week, Colorado and Georgia regulators took action to limit Friday Health Plans' operations amid financial shortfalls, leading the company to begin closing down.

from Section Page News - Modern Healthcare https://ift.tt/Eiwnbh5

Digital health companies led by Andy Roddick and Glen Tullman partnerDigital health companies led by Andy Roddick and Glen Tullman partnerDigital health companies led by Andy Roddick and Glen Tullman partner

Digital health companies led by Andy Roddick and Glen Tullman partner

ViewFi will provide its virtual diagnostics, physical therapy, pain management and other musculoskeletal services to Transcarent’s employer members.

from Section Page News - Modern Healthcare https://ift.tt/T62PMqm

BJC, Saint Luke's announce plans to form $10 billion systemBJC, Saint Luke's announce plans to form $10 billion systemBJC, Saint Luke's announce plans to form $10 billion system

BJC, Saint Luke's announce plans to form $10 billion system

Richard Liekweg, president and CEO of St. Louis-based BJC, would serve as the CEO of the combined nonprofit health system.

from Section Page News - Modern Healthcare https://ift.tt/kE5ZSU0

Newly combined Advocate Health sees net gains in first post-merger reportNewly combined Advocate Health sees net gains in first post-merger reportNewly combined Advocate Health sees net gains in first post-merger report

Newly combined Advocate Health sees net gains in first post-merger report

Charlotte, North Carolina-based Advocate Health, a 67-hospital nonprofit system created by the merger of the Advocate Aurora and Atrium systems, reported first-quarter net income of $578.74 million.

from Section Page News - Modern Healthcare https://ift.tt/Apco38k

Oak Street Health to expand into Arkansas, Iowa, Kansas, VirginiaOak Street Health to expand into Arkansas, Iowa, Kansas, VirginiaOak Street Health to expand into Arkansas, Iowa, Kansas, Virginia

Oak Street Health to expand into Arkansas, Iowa, Kansas, Virginia

Oak Street Health’s expansion plans come less than a month after CVS Health acquired the primary care provider.

from Section Page News - Modern Healthcare https://ift.tt/3FA0RhK

Strive Health nabs $166M from CVS Health Ventures, othersStrive Health nabs $166M from CVS Health Ventures, othersStrive Health nabs $166M from CVS Health Ventures, others

Strive Health nabs $166M from CVS Health Ventures, others

Strive Health joins the list of digital health companies to receive a sizable funding round despite a challenging economic climate.

from Section Page News - Modern Healthcare https://ift.tt/H6Rxi3F

How Connecticut's Broker Academy targets health disparitiesHow Connecticut's Broker Academy targets health disparitiesHow Connecticut's Broker Academy targets health disparities

How Connecticut's Broker Academy targets health disparities

Connecticut is training people from underserved communities how to sell insurance in hopes of boosting coverage rates in racial and ethnic minority communities.

from Section Page News - Modern Healthcare https://ift.tt/HUCQAVb

CMS urges states to stem Medicaid losses during redeterminationsCMS urges states to stem Medicaid losses during redeterminationsCMS urges states to stem Medicaid losses during redeterminations

CMS urges states to stem Medicaid losses during redeterminations

The Centers for Medicare and Medicaid Services is concerned about the large number of Medicaid enrollees losing coverage for administrative reasons during redeterminations.

from Section Page News - Modern Healthcare https://ift.tt/b5ExFJr

Why Highmark sees rising internal bias complaints as a good thingWhy Highmark sees rising internal bias complaints as a good thingWhy Highmark sees rising internal bias complaints as a good thing

Why Highmark sees rising internal bias complaints as a good thing

Highmark Health's Dr. Margaret Larkins-Pettigrew is giving employees more opportunities to report and resolve discrimination in the workplace.

from Section Page News - Modern Healthcare https://ift.tt/1WlTO90

Nominations sought for top innovators awardsNominations sought for top innovators awardsNominations sought for top innovators awards

Nominations sought for top innovators awards

Modern Healthcare is accepting nominations for its Top Innovators awards through July 17.

from Section Page News - Modern Healthcare https://ift.tt/Jlgfx3t

5 health system execs sound off on disruptors 5 health system execs sound off on disruptors 5 health system execs sound off on disruptors

5 health system execs sound off on disruptors

Five health system executives share their thoughts on the potential threat from retail and big tech disruptors like Amazon and CVS Health. 

from Section Page News - Modern Healthcare https://ift.tt/t6Z4NoS

California hospitals want an unprecedented bailout, but they don’t all need itCalifornia hospitals want an unprecedented bailout, but they don’t all need itCalifornia hospitals want an unprecedented bailout, but they don’t all need it

California hospitals want an unprecedented bailout, but they don’t all need it

As hospitals squeeze Democratic leaders in Sacramento for more money, healthcare experts and former state officials warn against the industry’s fear tactics.

from Section Page News - Modern Healthcare https://ift.tt/KTDQIhl

Noom launches telehealth company to prescribe weight loss drugsNoom launches telehealth company to prescribe weight loss drugsNoom launches telehealth company to prescribe weight loss drugs

Noom launches telehealth company to prescribe weight loss drugs

The move marks a significant shift in how the company approaches weight loss.

from Section Page News - Modern Healthcare https://ift.tt/DEeftQ0

Indiana doctor reprimanded, fined $3,000 for speaking publicly about Ohio 10-year-old's abortionIndiana doctor reprimanded, fined $3,000 for speaking publicly about Ohio 10-year-old's abortionIndiana doctor reprimanded, fined $3,000 for speaking publicly about Ohio 10-year-old's abortion

Indiana doctor reprimanded, fined $3,000 for speaking publicly about Ohio 10-year-old's abortion

The state Medical Licensing Board voted that Dr. Caitlin Bernard didn’t abide by privacy laws when she told a newspaper reporter about the girl’s treatment.

from Section Page News - Modern Healthcare https://ift.tt/6OCorwA

Administrative hurdles drive Medicaid losses during redeterminationsAdministrative hurdles drive Medicaid losses during redeterminationsAdministrative hurdles drive Medicaid losses during redeterminations

Administrative hurdles drive Medicaid losses during redeterminations

Arkansas, Florida and Indiana disenrolled more than 80% of Medicaid beneficiaries they reviewed in April for procedural reasons such as not having complete applications on file.

from Section Page News - Modern Healthcare https://ift.tt/nhVbpmP

CVS expects $1B hit from Medicare Advantage star ratings dipCVS expects $1B hit from Medicare Advantage star ratings dipCVS expects $1B hit from Medicare Advantage star ratings dip

CVS expects $1B hit from Medicare Advantage star ratings dip

CVS Health subsidiary Aetna enrolled just 21% of its Medicare Advantage members in plans with four- or five-star ratings this year.

from Section Page News - Modern Healthcare https://ift.tt/BSrCUHu

Massachusetts health insurer faces ransomware attack, member data at riskMassachusetts health insurer faces ransomware attack, member data at riskMassachusetts health insurer faces ransomware attack, member data at risk

Massachusetts health insurer faces ransomware attack, member data at risk

Point32Health said in a statement Tuesday that a “cybersecurity ransomware incident" affecting its Harvard Pilgrim Health Care program was detected April 17.

from Section Page News - Modern Healthcare https://ift.tt/CDxdNji

Home cancer treatment faces challenges post-pandemic Home cancer treatment faces challenges post-pandemic Home cancer treatment faces challenges post-pandemic

Home cancer treatment faces challenges post-pandemic

The COVID-19 pandemic drove some cancer treatment into the home, but safety concerns and reimbursement remain barriers to growth.

from Section Page News - Modern Healthcare https://ift.tt/iCUMem5

Mount Sinai residents at H+H/Elmhurst end strike with tentative deal for pay hikeMount Sinai residents at H+H/Elmhurst end strike with tentative deal for pay hikeMount Sinai residents at H+H/Elmhurst end strike with tentative deal for pay hike

Mount Sinai residents at H+H/Elmhurst end strike with tentative deal for pay hike

The 18% increase over three years is on par with what non-union residents are paid.

from Section Page News - Modern Healthcare https://ift.tt/3E8JN1z

AHIP CEO Matt Eyles to leave insurance lobbying groupAHIP CEO Matt Eyles to leave insurance lobbying groupAHIP CEO Matt Eyles to leave insurance lobbying group

AHIP CEO Matt Eyles to leave insurance lobbying group

AHIP will conduct a national search for a successor to Matt Eyles, president and CEO of the insurance lobbying group. 

from Section Page News - Modern Healthcare https://ift.tt/MiVJgq8

Cleveland Clinic returned to profitability in the first quarterCleveland Clinic returned to profitability in the first quarterCleveland Clinic returned to profitability in the first quarter

Cleveland Clinic returned to profitability in the first quarter

The Cleveland Clinic rebounded in the first quarter after losing $1.25 billion in 2022.

from Section Page News - Modern Healthcare https://ift.tt/OgEvbYV

Bright Health sells Zipnosis telehealth platformBright Health sells Zipnosis telehealth platformBright Health sells Zipnosis telehealth platform

Bright Health sells Zipnosis telehealth platform

Bright Health paid $51.4 million for Zipnosis in 2021 and still faces a lawsuit from the telehealth provider's founders over the terms of the deal.

from Section Page News - Modern Healthcare https://ift.tt/OHw4Uor

What you need to know about Biden's antitrust enforcementWhat you need to know about Biden's antitrust enforcementWhat you need to know about Biden's antitrust enforcement

What you need to know about Biden's antitrust enforcement

The Biden administration's approach to antitrust enforcement has had a chilling effect on healthcare deals, experts say.

from Section Page News - Modern Healthcare https://ift.tt/WXQGlv0

Mount Sinai residents at H+H/Elmhurst on strikeMount Sinai residents at H+H/Elmhurst on strikeMount Sinai residents at H+H/Elmhurst on strike

Mount Sinai residents at H+H/Elmhurst on strike

In the first doctors' strike since 1990, the residents demand pay parity with their non-union counterparts working at Mount Sinai Hospital in Manhattan.

from Section Page News - Modern Healthcare https://ift.tt/eWACGRL

CMS rule would mandate greater transparency on drug pricesCMS rule would mandate greater transparency on drug pricesCMS rule would mandate greater transparency on drug prices

CMS rule would mandate greater transparency on drug prices

The Centers for Medicare and Medicaid Services proposed to require pharmacy benefit managers to disclose drug prices under Medicaid.

from Section Page News - Modern Healthcare https://ift.tt/lFIVv3K

Mayo Clinic wins battle over nurse staffing legislationMayo Clinic wins battle over nurse staffing legislationMayo Clinic wins battle over nurse staffing legislation

Mayo Clinic wins battle over nurse staffing legislation

The Minnesota Legislature has backed away from a plan to set minimum nurse staffing levels at hospitals following intense opposition from the Mayo Clinic.

from Section Page News - Modern Healthcare https://ift.tt/p1DIfEB

Hospitals advance DEI despite tight economyHospitals advance DEI despite tight economyHospitals advance DEI despite tight economy

Hospitals advance DEI despite tight economy

Quality concerns and value-based care programs are reasons to press ahead on diversity, equity and inclusion initiatives, hospital executives said.

from Section Page News - Modern Healthcare https://ift.tt/HOU7oYq

Walgreens calls Humana's $642M arbitration award a 'miscarriage of justice'Walgreens calls Humana's $642M arbitration award a 'miscarriage of justice'Walgreens calls Humana's $642M arbitration award a 'miscarriage of justice'

Walgreens calls Humana's $642M arbitration award a 'miscarriage of justice'

Saying it was betrayed by a law firm and later made a victim of an arbitrator's overreach, Walgreens looks to the courts to throw the drug-pricing decision out.

from Section Page News - Modern Healthcare https://ift.tt/NjERieY

Pear Therapeutics: Bankruptcy judge approves sale of assets Pear Therapeutics: Bankruptcy judge approves sale of assets Pear Therapeutics: Bankruptcy judge approves sale of assets

Pear Therapeutics: Bankruptcy judge approves sale of assets

Companies acquiring assets include Harvest Bio, a company with ties to former CEO Corey McCann.

from Section Page News - Modern Healthcare https://ift.tt/pngtcSP

GoHealth receives takeover bid from co-founders' led investor groupGoHealth receives takeover bid from co-founders' led investor groupGoHealth receives takeover bid from co-founders' led investor group

GoHealth receives takeover bid from co-founders' led investor group

Brandon Cruz and Clint Jones were moved out of leadership roles during the company's tailspin last year.

from Section Page News - Modern Healthcare https://ift.tt/rRb6WqE

Bright Health completes reverse stock splitBright Health completes reverse stock splitBright Health completes reverse stock split

Bright Health completes reverse stock split

Bright Health consolidated its shares by one-to-80, raising its stock price above the $1 minimum to remain on the New York Stock Exchange.

from Section Page News - Modern Healthcare https://ift.tt/HJKWRXo

Minnesota lawmakers take step to mandate nursing home wages Minnesota lawmakers take step to mandate nursing home wages Minnesota lawmakers take step to mandate nursing home wages

Minnesota lawmakers take step to mandate nursing home wages

Minnesota lawmakers passed legislation creating a board that will set wages and benefits for nursing home workers statewide.

from Section Page News - Modern Healthcare https://ift.tt/ib4JRon

Pear Therapeutics: 4 companies want pieces of bankrupt companyPear Therapeutics: 4 companies want pieces of bankrupt companyPear Therapeutics: 4 companies want pieces of bankrupt company

Pear Therapeutics: 4 companies want pieces of bankrupt company

Less than 18 months ago, Pear went public in December 2021 in a deal that valued the company at $1.6 billion.

from Section Page News - Modern Healthcare https://ift.tt/sSn3zWL

Mayo Clinic's strong quarter signals possible reboundMayo Clinic's strong quarter signals possible reboundMayo Clinic's strong quarter signals possible rebound

Mayo Clinic's strong quarter signals possible rebound

The Mayo Clinic recorded $420 million in net income during the first quarter after losing $177 million a year before.

from Section Page News - Modern Healthcare https://ift.tt/prhSLE2

FTC to seek clarification of Health Breach Notification RuleFTC to seek clarification of Health Breach Notification RuleFTC to seek clarification of Health Breach Notification Rule

FTC to seek clarification of Health Breach Notification Rule

Companies in the space that are not subject to HIPAA could see the rules formally applied to them.

from Section Page News - Modern Healthcare https://ift.tt/OtlCwZE

Mount Sinai Hospital fined $127K for consistent understaffing at NICU Mount Sinai Hospital fined $127K for consistent understaffing at NICU Mount Sinai Hospital fined $127K for consistent understaffing at NICU

Mount Sinai Hospital fined $127K for consistent understaffing at NICU

The hospital violated staffing rules included in recent nurse contracts, an arbitrator ruled. 

from Section Page News - Modern Healthcare https://ift.tt/Ibl1aG7

Unions call for DOJ investigation of UPMC on wages, antitrustUnions call for DOJ investigation of UPMC on wages, antitrustUnions call for DOJ investigation of UPMC on wages, antitrust

Unions call for DOJ investigation of UPMC on wages, antitrust

A labor coalition led by the Service Employees International Union alleges the University of Pittsburgh Medical Center leverages its power as a leading regional employer to suppress pay.

from Section Page News - Modern Healthcare https://ift.tt/FNyJ9Uf

Minnesota hospitals push back on nurse staffing bill, Mayo's request for exceptionMinnesota hospitals push back on nurse staffing bill, Mayo's request for exceptionMinnesota hospitals push back on nurse staffing bill, Mayo's request for exception

Minnesota hospitals push back on nurse staffing bill, Mayo's request for exception

Providers argue the nurse staffing bill would require them to cut services, and that if Mayo Clinic gets an exception, every hospital should. 

from Section Page News - Modern Healthcare https://ift.tt/S5Bt971

HCA Healthcare to buy 41 Texas urgent care centers from FastMedHCA Healthcare to buy 41 Texas urgent care centers from FastMedHCA Healthcare to buy 41 Texas urgent care centers from FastMed

HCA Healthcare to buy 41 Texas urgent care centers from FastMed

HCA will add 19 FastMed locations and 22 MedPost centers to its portfolio under the terms of the deal, which is expected to close this summer.

from Section Page News - Modern Healthcare https://ift.tt/HXjyxWp

Medicare Advantage deals winnow the home health fieldMedicare Advantage deals winnow the home health fieldMedicare Advantage deals winnow the home health field

Medicare Advantage deals winnow the home health field

Medicare Advantage insurers are driving massive consolidation in home health by acquiring companies and setting reimbursement rates.

from Section Page News - Modern Healthcare https://ift.tt/FxM7e5d

FTC orders records from Zinc Health, Ascent Health as PBM probe widensFTC orders records from Zinc Health, Ascent Health as PBM probe widensFTC orders records from Zinc Health, Ascent Health as PBM probe widens

FTC orders records from Zinc Health, Ascent Health as PBM probe widens

The Federal Trade Commission issued compulsory orders for information on the business practices of two group purchasing organizations.

from Section Page News - Modern Healthcare https://ift.tt/9sI3hbr

House panel advances bill to promote PBM transparencyHouse panel advances bill to promote PBM transparencyHouse panel advances bill to promote PBM transparency

House panel advances bill to promote PBM transparency

A House subcommittee voted unanimously to approve a measure that would require pharmacy benefit managers to disclose more information about their dealings.

from Section Page News - Modern Healthcare https://ift.tt/gkdORyG

VA seeks to hold Oracle Cerner accountable with revised EHR dealVA seeks to hold Oracle Cerner accountable with revised EHR dealVA seeks to hold Oracle Cerner accountable with revised EHR deal

VA seeks to hold Oracle Cerner accountable with revised EHR deal

The VA's Dr. Neil Evans said the system has not yet delivered for veterans or VA clinicians.

from Section Page News - Modern Healthcare https://ift.tt/5yrdDWJ

Increase in hospital police forces brings criticisms, warningsIncrease in hospital police forces brings criticisms, warningsIncrease in hospital police forces brings criticisms, warnings

Increase in hospital police forces brings criticisms, warnings

Nearly 30 states have active or proposed laws authorizing independent hospital police forces.

from Section Page News - Modern Healthcare https://ift.tt/4MdvupY

Abortion pill case advances to appeals court, on course to Supreme CourtAbortion pill case advances to appeals court, on course to Supreme CourtAbortion pill case advances to appeals court, on course to Supreme Court

Abortion pill case advances to appeals court, on course to Supreme Court

The case is likely to wind up at the Supreme Court, which already has intervened to keep the drug, mifepristone, available while the legal fight continues.

from Section Page News - Modern Healthcare https://ift.tt/4YjTbVQ

LRVHealth launches $200M digital health fundLRVHealth launches $200M digital health fundLRVHealth launches $200M digital health fund

LRVHealth launches $200M digital health fund

LRVHealth received investments from 29 health systems, insurance companies and vendors. 

from Section Page News - Modern Healthcare https://ift.tt/2l4fK0a

Emergency abortions mired in legal questions a year after Roe reversalEmergency abortions mired in legal questions a year after Roe reversalEmergency abortions mired in legal questions a year after Roe reversal

Emergency abortions mired in legal questions a year after Roe reversal

Nearly a year after the Supreme Court abortion ruling, shifting state abortion laws and conflicting enforcement of federal rules have hamstrung doctors faced with critical patients.

from Section Page News - Modern Healthcare https://ift.tt/3Dh1VTf

WellSpan Health, Emerus to build three neighborhood hospitals WellSpan Health, Emerus to build three neighborhood hospitals WellSpan Health, Emerus to build three neighborhood hospitals

WellSpan Health, Emerus to build three neighborhood hospitals

WellSpan, which has eight hospitals across the state, plans to build three hospitals in Cumberland and York counties with Emerus, which operates 39 micro-hospitals nationally.

from Section Page News - Modern Healthcare https://ift.tt/HRWuQqB

Court order impacting ACA preventative care mandate placed on holdCourt order impacting ACA preventative care mandate placed on holdCourt order impacting ACA preventative care mandate placed on hold

Court order impacting ACA preventative care mandate placed on hold

The 5th U.S. Circuit Court of Appeals issued an “administrative stay” of the March 30 ruling issued by U.S. District Judge Reed O'Connor of Texas.

from Section Page News - Modern Healthcare https://ift.tt/Mox4C5s

General Catalyst leads $50M investment in healthcare AI company General Catalyst leads $50M investment in healthcare AI company General Catalyst leads $50M investment in healthcare AI company

General Catalyst leads $50M investment in healthcare AI company

Hippocratic AI, which is building a generative AI large language model designed for healthcare, launched Tuesday.

from Section Page News - Modern Healthcare https://ift.tt/4q2R19F

Insurers, PBMs restrict access to weight loss drugs as demand soarsInsurers, PBMs restrict access to weight loss drugs as demand soarsInsurers, PBMs restrict access to weight loss drugs as demand soars

Insurers, PBMs restrict access to weight loss drugs as demand soars

Payers have taken a cautious approach to handling rising demand for the pricey new class of drugs known as glucagon-like peptide agnostics, or GLP-1s.

from Section Page News - Modern Healthcare https://ift.tt/1AXs5eW

CommonSpirit narrows third-quarter loss, cuts jobsCommonSpirit narrows third-quarter loss, cuts jobsCommonSpirit narrows third-quarter loss, cuts jobs

CommonSpirit narrows third-quarter loss, cuts jobs

Lower patient acuity and rising costs created challenges for CommonSpirit Health in its fiscal third quarter.

from Section Page News - Modern Healthcare https://ift.tt/lQdyfE1

CVS Health to shut down clinical trials divisionCVS Health to shut down clinical trials divisionCVS Health to shut down clinical trials division

CVS Health to shut down clinical trials division

CVS Health will end its foray into clinical research at the end of 2024, three years after launching the venture.

from Section Page News - Modern Healthcare https://ift.tt/x4p0e3R

The Check Up: Nigam Shah, Stanford Health CareThe Check Up: Nigam Shah, Stanford Health CareThe Check Up: Nigam Shah, Stanford Health Care

The Check Up: Nigam Shah, Stanford Health Care

ChatGPT has a lot of potential uses in healthcare—but also some serious pitfalls, Stanford Health Care's chief data scientist said.

from Section Page News - Modern Healthcare https://ift.tt/N3X1H7w

Envision Healthcare files for Chapter 11 bankruptcyEnvision Healthcare files for Chapter 11 bankruptcyEnvision Healthcare files for Chapter 11 bankruptcy

Envision Healthcare files for Chapter 11 bankruptcy

KKR bought Envision in 2018 in a deal valued at nearly $10 billion.
 

from Section Page News - Modern Healthcare https://ift.tt/2eK0VGg

Nonprofit program empowers kids to be a partner in their healthcareNonprofit program empowers kids to be a partner in their healthcareNonprofit program empowers kids to be a partner in their healthcare

Nonprofit program empowers kids to be a partner in their healthcare

The Washington, D.C.-based organization "Hope for Henry" is working with hospitals and pharmacies nationwide in an attempt to bring smiles to kids’ faces.

from Section Page News - Modern Healthcare https://ift.tt/68KgRIA

Best Places to Work in Healthcare - 2023 (alphabetical list)Best Places to Work in Healthcare - 2023 (alphabetical list)Best Places to Work in Healthcare - 2023 (alphabetical list)

Best Places to Work in Healthcare - 2023 (alphabetical list)

Where do employees most want to work in the healthcare industry? Check out Modern Healthcare's alphabetical, unranked 2023 list.

from Section Page News - Modern Healthcare https://ift.tt/mSEJ0kL

HCA workers at 5 hospitals vote to strikeHCA workers at 5 hospitals vote to strikeHCA workers at 5 hospitals vote to strike

HCA workers at 5 hospitals vote to strike

A May 22 strike date is scheduled at five HCA Healthcare facilities in California.

from Section Page News - Modern Healthcare https://ift.tt/1pnzfI6

Mass General Brigham pushes ahead with cost cuts, integration effortsMass General Brigham pushes ahead with cost cuts, integration effortsMass General Brigham pushes ahead with cost cuts, integration efforts

Mass General Brigham pushes ahead with cost cuts, integration efforts

Mass General Brigham is working to improve efficiency with resources such as inpatient beds and CT scanners.

 

from Section Page News - Modern Healthcare https://ift.tt/sMKt7Ba

Historically Black medical schools ask for funding increaseHistorically Black medical schools ask for funding increaseHistorically Black medical schools ask for funding increase

Historically Black medical schools ask for funding increase

Representatives from several Black medical schools met with Sen. Bernie Sanders (I-VT) to share their concerns around funding and training.

from Section Page News - Modern Healthcare https://ift.tt/G5YEVt7

Federal physician recruitment program at riskFederal physician recruitment program at riskFederal physician recruitment program at risk

Federal physician recruitment program at risk

Funding for the National Health Service Corps expires at the end of September, but President Joe Biden has asked Congress for more money to fund the program.

from Section Page News - Modern Healthcare https://ift.tt/PzDpdXS

The $100,000 signing bonus: What hospitals are doing to woo workers The $100,000 signing bonus: What hospitals are doing to woo workers The $100,000 signing bonus: What hospitals are doing to woo workers

The $100,000 signing bonus: What hospitals are doing to woo workers

To fight severe staffing shortages and lessen the use of contract labor, hospitals are updating their strategies to recruit and retrain front-line employees,

from Section Page News - Modern Healthcare https://ift.tt/71jwYUf

Senate panel advances PBM legislationSenate panel advances PBM legislationSenate panel advances PBM legislation

Senate panel advances PBM legislation

Senate health committee Chair Bernie Sanders (I-Vt.) and ranking member Dr. Bill Cassidy (R-La.) joined forces to curb pharmacy benefit manager business practices.

from Section Page News - Modern Healthcare https://ift.tt/2iTk1qf

Michigan bill would set nurse staffing ratios in hospitalsMichigan bill would set nurse staffing ratios in hospitalsMichigan bill would set nurse staffing ratios in hospitals

Michigan bill would set nurse staffing ratios in hospitals

New legislation introduced aims to retain and bring nurses back to the profession, and to improve patient safety.

from Section Page News - Modern Healthcare https://ift.tt/2CgjHTX

Ochsner Health cuts 770 jobsOchsner Health cuts 770 jobsOchsner Health cuts 770 jobs

Ochsner Health cuts 770 jobs

New Orleans-based Ochsner Health is eliminating 770 positions, representing about 2% of its workforce, in a move to address the system's financial challenges.

from Section Page News - Modern Healthcare https://ift.tt/bqoikyW

The COVID-19 public health emergency is ending. Here’s what’s changing.The COVID-19 public health emergency is ending. Here’s what’s changing.The COVID-19 public health emergency is ending. Here’s what’s changing.

The COVID-19 public health emergency is ending. Here’s what’s changing.

The federal government waived rules and created flexibilities to ease the burden on the healthcare sector during the COVID-19 public health emergency. Most of them will end Thursday.

from Section Page News - Modern Healthcare https://ift.tt/sC4AVgY

Digital transformation—how healthcare leaders can leverage the potential of innovationDigital transformation—how healthcare leaders can leverage the potential of innovationDigital transformation—how healthcare leaders can leverage the potential of innovation

Digital transformation—how healthcare leaders can leverage the potential of innovation

Here's everything you need to know about the event, held from May 22 to May 24 in Chicago.

from Section Page News - Modern Healthcare https://ift.tt/as0O5QZ

Babylon Health moves to go private as losses pile upBabylon Health moves to go private as losses pile upBabylon Health moves to go private as losses pile up

Babylon Health moves to go private as losses pile up

The company, founded in London in 2013, went public in October 2021.

from Section Page News - Modern Healthcare https://ift.tt/KTJw0f4

Envision Healthcare eyeing bankruptcy: WSJEnvision Healthcare eyeing bankruptcy: WSJEnvision Healthcare eyeing bankruptcy: WSJ

Envision Healthcare eyeing bankruptcy: WSJ

Envision Healthcare may file for chapter 11 bankruptcy within days.

from Section Page News - Modern Healthcare https://ift.tt/0K2LHdh

Cuts ahead: Health systems rethink non-clinical job needsCuts ahead: Health systems rethink non-clinical job needsCuts ahead: Health systems rethink non-clinical job needs

Cuts ahead: Health systems rethink non-clinical job needs

The cuts are affecting employees at all levels, from back-office billing to executive leadership, with systems attempting to mitigate the impact of staff shortages and bloated expenses.
 

from Section Page News - Modern Healthcare https://ift.tt/wlpZToB

Clover Health reports health insurance boostClover Health reports health insurance boostClover Health reports health insurance boost

Clover Health reports health insurance boost

Clover Health reported a $72.6 million net loss on $527.8 million in revenue during the first quarter.

from Section Page News - Modern Healthcare https://ift.tt/yWEIltY

Cano Health explores sale of non-core assets to focus on Medicare AdvantageCano Health explores sale of non-core assets to focus on Medicare AdvantageCano Health explores sale of non-core assets to focus on Medicare Advantage

Cano Health explores sale of non-core assets to focus on Medicare Advantage

Of the company’s 388,667 members, 140,366 are through Medicare Advantage plans.

from Section Page News - Modern Healthcare https://ift.tt/EqHaNlb

Former nurse RaDonda Vaught seeks license return after sentencingFormer nurse RaDonda Vaught seeks license return after sentencingFormer nurse RaDonda Vaught seeks license return after sentencing

Former nurse RaDonda Vaught seeks license return after sentencing

After Tuesday's hearing, RaDonda Vaught said she would never go back to nursing, even if her license is reinstated.

from Section Page News - Modern Healthcare https://ift.tt/hZyS9kU

DEA to extend remote prescribing flexibilities for 6 months DEA to extend remote prescribing flexibilities for 6 months DEA to extend remote prescribing flexibilities for 6 months

DEA to extend remote prescribing flexibilities for 6 months

A rule set to be published Wednesday would give telehealth companies six additional months of flexibility after the COVID-19 public health emergency ends.

from Section Page News - Modern Healthcare https://ift.tt/puPD9dv

Northwell launches AI startup with AegisNorthwell launches AI startup with AegisNorthwell launches AI startup with Aegis

Northwell launches AI startup with Aegis

New AI company Optain analyzes images from a small retinal camera to screen for and diagnose multiple chronic and acute conditions.

from Section Page News - Modern Healthcare https://ift.tt/L2y7AgO

Premier exploring alternatives that could include its salePremier exploring alternatives that could include its salePremier exploring alternatives that could include its sale

Premier exploring alternatives that could include its sale

Premier, which has a member network of more than 4,400 hospital and health systems, established a special committee of independent directors to evaluate strategic alternatives.

from Section Page News - Modern Healthcare https://ift.tt/846TFJ7

Home care providers cry foul on CMS rule to increase caregiver wagesHome care providers cry foul on CMS rule to increase caregiver wagesHome care providers cry foul on CMS rule to increase caregiver wages

Home care providers cry foul on CMS rule to increase caregiver wages

Home health providers are challenging a proposed rule by CMS requiring states to allocate 80% of Medicaid HCBS funding to caregiver wages.

from Section Page News - Modern Healthcare https://ift.tt/ZEi8SDd

FTC's noncompete ban could apply to nonprofits, former staffers sayFTC's noncompete ban could apply to nonprofits, former staffers sayFTC's noncompete ban could apply to nonprofits, former staffers say

FTC's noncompete ban could apply to nonprofits, former staffers say

Former employees of the Federal Trade Commission said the agency could invoke other legislation in some circumstances to work around limitations of the FTC Act.

from Section Page News - Modern Healthcare https://ift.tt/d4F3O5k

Kaiser Permanente reports financial rebound in first quarterKaiser Permanente reports financial rebound in first quarterKaiser Permanente reports financial rebound in first quarter

Kaiser Permanente reports financial rebound in first quarter

Oakland, California-based Kaiser Permanente on Friday reported net income of $1.21 billion in the first quarter of 2023.

from Section Page News - Modern Healthcare https://ift.tt/J3AueC2

Cigna prepared for PBM crackdown, CEO saysCigna prepared for PBM crackdown, CEO saysCigna prepared for PBM crackdown, CEO says

Cigna prepared for PBM crackdown, CEO says

Cigna's net income rose 5.8% to $1.2 billion in the first quarter on a 5.7% increase in revenue, the health insurance company reported Friday.

from Section Page News - Modern Healthcare https://ift.tt/huDUdbT

WHO declares COVID pandemic no longer a global emergencyWHO declares COVID pandemic no longer a global emergencyWHO declares COVID pandemic no longer a global emergency

WHO declares COVID pandemic no longer a global emergency

The U.N. health agency's officials said that even though the emergency phase was over, the pandemic hasn't come to an end.

from Section Page News - Modern Healthcare https://ift.tt/xCEZJ9j

State tax incentives entice doctors to train medical studentsState tax incentives entice doctors to train medical studentsState tax incentives entice doctors to train medical students

State tax incentives entice doctors to train medical students

Georgia and six other states offer tax incentives to create mentorship opportunities for medical students and forge career pipelines in underserved communities.

from Section Page News - Modern Healthcare https://ift.tt/zh1PKBI

How Amwell, Privia fared in Q1How Amwell, Privia fared in Q1How Amwell, Privia fared in Q1

How Amwell, Privia fared in Q1

Amwell suffered a goodwill impairment charge in the first quarter of 2023 while Privia Health said it paused a contract with a health insurer.

from Section Page News - Modern Healthcare https://ift.tt/Pag75UD

Idaho's strict abortion ban forces OB-GYN exodusIdaho's strict abortion ban forces OB-GYN exodusIdaho's strict abortion ban forces OB-GYN exodus

Idaho's strict abortion ban forces OB-GYN exodus

At least two Idaho hospitals are ending labor and delivery services, with one citing the state’s “legal and political climate."

from Section Page News - Modern Healthcare https://ift.tt/15uYHke

1 dead, 4 injured in Atlanta medical building shooting1 dead, 4 injured in Atlanta medical building shooting1 dead, 4 injured in Atlanta medical building shooting

1 dead, 4 injured in Atlanta medical building shooting

The suspect had an appointment at a Northside Medical building and opened fire shortly after arriving in an attack that lasted about two minutes.

from Section Page News - Modern Healthcare https://ift.tt/8jZVY1n

Nursing school enrollment takes a dip—AACNNursing school enrollment takes a dip—AACNNursing school enrollment takes a dip—AACN

Nursing school enrollment takes a dip—AACN

For the first time in more than 20 years, nursing schools experienced a year-over-year decline in students in 2022, though overall enrollment is still high.

from Section Page News - Modern Healthcare https://ift.tt/rECIyjf

Option Care Health to acquire Amedisys for $3.6 billion in all-stock dealOption Care Health to acquire Amedisys for $3.6 billion in all-stock dealOption Care Health to acquire Amedisys for $3.6 billion in all-stock deal

Option Care Health to acquire Amedisys for $3.6 billion in all-stock deal

The all-stock transaction will create a mammoth provider of post-acute care services, that also will include hospital-at-home and palliative care.

from Section Page News - Modern Healthcare https://ift.tt/AK7NmJ5

Illinois aims to build its own Obamacare marketplaceIllinois aims to build its own Obamacare marketplaceIllinois aims to build its own Obamacare marketplace

Illinois aims to build its own Obamacare marketplace

Pritzker-backed legislation aims to insulate the state's program in the event future federal leaders ever look to roll back parts of the landmark law.

from Section Page News - Modern Healthcare https://ift.tt/H4DyoJU

CVS cuts profit forecast after Signify, Oak Street dealsCVS cuts profit forecast after Signify, Oak Street dealsCVS cuts profit forecast after Signify, Oak Street deals

CVS cuts profit forecast after Signify, Oak Street deals

CVS Health finalized its deals to acquire Signify Health and Oak Street Health sooner than expected, accelerating spending related to the transactions and squeezing profits for the year.

from Section Page News - Modern Healthcare https://ift.tt/ZFXSAd1

Medicare Advantage growth, higher fees drag Community Health Systems' Q1 resultsMedicare Advantage growth, higher fees drag Community Health Systems' Q1 resultsMedicare Advantage growth, higher fees drag Community Health Systems' Q1 results

Medicare Advantage growth, higher fees drag Community Health Systems' Q1 results

Changes to payer mix and higher specialist fees took a toll on Community Health Systems' bottom line.

from Section Page News - Modern Healthcare https://ift.tt/ASJB93r

Pure Health makes $500M investment in Ardent Health ServicesPure Health makes $500M investment in Ardent Health ServicesPure Health makes $500M investment in Ardent Health Services

Pure Health makes $500M investment in Ardent Health Services

Pure Health said the deal is part of a larger strategy to expand its international portfolio and build connections with U.S. healthcare providers.

from Section Page News - Modern Healthcare https://ift.tt/0ljZOQR

Georgia takes over health insurance market through new lawGeorgia takes over health insurance market through new lawGeorgia takes over health insurance market through new law

Georgia takes over health insurance market through new law

The law is one of three changes that could affect Georgians who get subsidized health insurance through the state and federal government.

from Section Page News - Modern Healthcare https://ift.tt/kv63ybl

UnitedHealth loses Envision Healthcare pay lawsuitUnitedHealth loses Envision Healthcare pay lawsuitUnitedHealth loses Envision Healthcare pay lawsuit

UnitedHealth loses Envision Healthcare pay lawsuit

UnitedHealth Group agreed to pay $91.2 million to settle claims it underpaid Envision Healthcare providers.

from Section Page News - Modern Healthcare https://ift.tt/ZxhYXSn

CVS completes $10.6B Oak Street Health acquisitionCVS completes $10.6B Oak Street Health acquisitionCVS completes $10.6B Oak Street Health acquisition

CVS completes $10.6B Oak Street Health acquisition

The deal adds more than 170 Oak Street Health primary care clinics to CVS Health's expanding portfolio.

from Section Page News - Modern Healthcare https://ift.tt/81tFW0O

How health systems can take strategic action on ESGHow health systems can take strategic action on ESGHow health systems can take strategic action on ESG

How health systems can take strategic action on ESG

Here's everything you need to know about Modern Healthcare’s ESG: The Implementation Imperative Summit.

from Section Page News - Modern Healthcare https://ift.tt/cxXTNsS

Feds declared hospitals that deny emergency abortions broke the lawFeds declared hospitals that deny emergency abortions broke the lawFeds declared hospitals that deny emergency abortions broke the law

Feds declared hospitals that deny emergency abortions broke the law

The findings are a warning to hospitals as they struggle to reconcile dozens of new state laws that ban or severely restrict abortion.

from Section Page News - Modern Healthcare https://ift.tt/tu12Ghf

Health systems in limbo as Medicaid redeterminations get underwayHealth systems in limbo as Medicaid redeterminations get underwayHealth systems in limbo as Medicaid redeterminations get underway

Health systems in limbo as Medicaid redeterminations get underway

The federal government allowed people to remain on Medicaid during the COVID-19 pandemic, even when their income should’ve excluded them from the program. 

from Section Page News - Modern Healthcare https://ift.tt/XtWNC7d

CMS may reimburse for virtual reality treatmentsCMS may reimburse for virtual reality treatmentsCMS may reimburse for virtual reality treatments

CMS may reimburse for virtual reality treatments

A recent CMS ruling represents the first signal that clinicians will get reimbursed for virtual reality services by Medicare, but there are still challenges.

from Section Page News - Modern Healthcare https://ift.tt/6vr2kF8

Health systems ‘taking a breath’ on major construction projectsHealth systems ‘taking a breath’ on major construction projectsHealth systems ‘taking a breath’ on major construction projects

Health systems ‘taking a breath’ on major construction projects

Some systems have opted to renovate rather than break ground, according to participants in Modern Healthcare’s 2023 Construction and Design Survey.

from Section Page News - Modern Healthcare https://ift.tt/OncwSYi

Prime Healthcare’s Sunitha Reddy on revenue cycle, patient experiencePrime Healthcare’s Sunitha Reddy on revenue cycle, patient experiencePrime Healthcare’s Sunitha Reddy on revenue cycle, patient experience

Prime Healthcare’s Sunitha Reddy on revenue cycle, patient experience

Modern Healthcare spoke to Prime Healthcare's Sunitha Reddy about her career journey and her main priorities at the organization.

from Section Page News - Modern Healthcare https://ift.tt/yYTKQNm

Confronting challenges in addiction treatmentConfronting challenges in addiction treatmentConfronting challenges in addiction treatment

Confronting challenges in addiction treatment

Addiction treatment experts Dr. Kenneth Stoller and Marvin Ventrell discuss ongoing barriers to access.

from Section Page News - Modern Healthcare https://ift.tt/sax9lVI

Medicaid redeterminations plagued by error, confusion as millions are kicked Medicaid redeterminations plagued by error, confusion as millions are kicked Medicaid redeterminations plagued by error, confusion as millions are kicked

Medicaid redeterminations plagued by error, confusion as millions are kicked

Millions are expected to be left without insurance after getting a reprieve for the past three years during the coronavirus pandemic.

from Section Page News - Modern Healthcare https://ift.tt/6XPGL2p

Opinion: Medicaid redeterminations raise threat of new public health crisisOpinion: Medicaid redeterminations raise threat of new public health crisisOpinion: Medicaid redeterminations raise threat of new public health crisis

Opinion: Medicaid redeterminations raise threat of new public health crisis

One overlooked piece of mail could have catastrophic consequences on access to healthcare benefits, says California health plan CEO Jarrod McNaughton.

from Section Page News - Modern Healthcare https://ift.tt/HZ9Xs3W

Kaiser, Geisinger Risant strategy in spotlight as executives tout value-based careKaiser, Geisinger Risant strategy in spotlight as executives tout value-based careKaiser, Geisinger Risant strategy in spotlight as executives tout value-based care

Kaiser, Geisinger Risant strategy in spotlight as executives tout value-based care

Kaiser, a $95 billion system spanning eight states and Washington, D.C., acknowledges its closed integrated care model may not work in every geography.

from Section Page News - Modern Healthcare https://ift.tt/ovtLFOk

Bright Health to exit health insurance businessBright Health to exit health insurance businessBright Health to exit health insurance business

Bright Health to exit health insurance business

Bright Health must find a buyer for its Medicare Advantage operations in California within weeks to satisfy lenders and avoid bankruptcy.

from Section Page News - Modern Healthcare https://ift.tt/68ZNySo

Pause on visa applications thwarting recruitment effortsPause on visa applications thwarting recruitment effortsPause on visa applications thwarting recruitment efforts

Pause on visa applications thwarting recruitment efforts

The immigration timeline for foreign-trained healthcare workers entering the U.S. could double following the federal freeze on employment-based visa applications.

from Section Page News - Modern Healthcare https://ift.tt/BIuhQYK

CMS seeks to align Medicaid managed care, fee-for-service policiesCMS seeks to align Medicaid managed care, fee-for-service policiesCMS seeks to align Medicaid managed care, fee-for-service policies

CMS seeks to align Medicaid managed care, fee-for-service policies

The Centers for Medicare and Medicaid Services plans to propose regulations that would align Medicaid reimbursements from managed care companies with fee-for-service rates.

from Section Page News - Modern Healthcare https://ift.tt/avJ9jxI

Grady Health expands clinics after closure of Atlanta MedicalGrady Health expands clinics after closure of Atlanta MedicalGrady Health expands clinics after closure of Atlanta Medical

Grady Health expands clinics after closure of Atlanta Medical

Grady Health System says two new clinics in Atlanta will help compensate for the closure of two Wellstar Health System facilities last year.

from Section Page News - Modern Healthcare https://ift.tt/sQ8oaAZ

Molina Healthcare profits up as Medicaid redeterminations resumeMolina Healthcare profits up as Medicaid redeterminations resumeMolina Healthcare profits up as Medicaid redeterminations resume

Molina Healthcare profits up as Medicaid redeterminations resume

Molina Healthcare increased its adjusted earnings guidance to at least $20.25 per share, up from a previously forecast of at least $19.75 per share.

from Section Page News - Modern Healthcare https://ift.tt/78UmVAj

Telehealth company eVisit acquires Bluestream Health Telehealth company eVisit acquires Bluestream Health Telehealth company eVisit acquires Bluestream Health

Telehealth company eVisit acquires Bluestream Health

Phoenix-based eVisit said it will implement Bluestream’s integrated language services into its telemedicine platform.

from Section Page News - Modern Healthcare https://ift.tt/Y69XTZ4

Universal Health Services considers expansion as patient volume reboundsUniversal Health Services considers expansion as patient volume reboundsUniversal Health Services considers expansion as patient volume rebounds

Universal Health Services considers expansion as patient volume rebounds

The system's executives recently met to discuss possible changes to facilities operating at more than 80% capacity.

from Section Page News - Modern Healthcare https://ift.tt/CwhQoKH

5 takeaways from Teladoc’s Q1 financials 5 takeaways from Teladoc’s Q1 financials 5 takeaways from Teladoc’s Q1 financials

5 takeaways from Teladoc’s Q1 financials

Teladoc Health posted a net loss of $69.2 million, or 42 cents per share, in the first quarter of 2023.

from Section Page News - Modern Healthcare https://ift.tt/3nsOKa0

How a 2019 Florida law started a hospital-building boomHow a 2019 Florida law started a hospital-building boomHow a 2019 Florida law started a hospital-building boom

How a 2019 Florida law started a hospital-building boom

A 2019 Florida law has allowed a hospital-building boom in the state. Many, however, question whether this surge in hospital facilities is actually beneficial.

from Section Page News - Modern Healthcare https://ift.tt/7kIFn1b

Kaiser, Geisinger launch nonprofit to buy hospitalsKaiser, Geisinger launch nonprofit to buy hospitalsKaiser, Geisinger launch nonprofit to buy hospitals

Kaiser, Geisinger launch nonprofit to buy hospitals

The newly formed Risant Health plans to acquire Danville, Pennsylvania-based Geisinger as its first member health system.

from Section Page News - Modern Healthcare https://ift.tt/xwYrgte

Remote patient monitoring poised to grow if reimbursement remainsRemote patient monitoring poised to grow if reimbursement remainsRemote patient monitoring poised to grow if reimbursement remains

Remote patient monitoring poised to grow if reimbursement remains

Providers are using remote patient monitoring to extend care for chronic care patients in underserved areas but reimbursement for services is far from certain.

from Section Page News - Modern Healthcare https://ift.tt/3F9bu7e

GoodRx's co-founders step down as co-CEOsGoodRx's co-founders step down as co-CEOsGoodRx's co-founders step down as co-CEOs

GoodRx's co-founders step down as co-CEOs

Doug Hirsch, a veteran of Yahoo! and Facebook, founded GoodRx along with software entrepreneur Trevor Bezdek in 2011.

from Section Page News - Modern Healthcare https://ift.tt/YwimIeg

GE HealthCare stock drops despite revenue growthGE HealthCare stock drops despite revenue growthGE HealthCare stock drops despite revenue growth

GE HealthCare stock drops despite revenue growth

While sales did beat Wall Street's expectations, the medical device and software company also reported declining net income.

from Section Page News - Modern Healthcare https://ift.tt/eac8Z7g

Tenet reports returning demand in acute, ambulatory settingsTenet reports returning demand in acute, ambulatory settingsTenet reports returning demand in acute, ambulatory settings

Tenet reports returning demand in acute, ambulatory settings

Tenet, a Dallas-based for-profit system, plans to invest at least $250 million in ambulatory care each year. 

from Section Page News - Modern Healthcare https://ift.tt/TcOpEGb

Centene lowers expectations after Medicare Advantage, Medicaid changesCentene lowers expectations after Medicare Advantage, Medicaid changesCentene lowers expectations after Medicare Advantage, Medicaid changes

Centene lowers expectations after Medicare Advantage, Medicaid changes

The insurer said it is focused on rightsizing its Medicare Advantage segment after pursuing a “growth at all costs pricing mentality."

from Section Page News - Modern Healthcare https://ift.tt/NKIWDxg

Transgender kids rush for care amid state bansTransgender kids rush for care amid state bansTransgender kids rush for care amid state bans

Transgender kids rush for care amid state bans

As Republican lawmakers across the country are banning gender-affirming care for minors, parents are scrambling to find care for their children.

from Section Page News - Modern Healthcare https://ift.tt/Xfvr0Nj

Clover Health settles shareholder lawsuit as delisting loomsClover Health settles shareholder lawsuit as delisting loomsClover Health settles shareholder lawsuit as delisting looms

Clover Health settles shareholder lawsuit as delisting looms

Clover Health will pay $22 million to settle the first—but not the last—class-action lawsuit alleging the insurtech misled investors ahead of its public debut.

from Section Page News - Modern Healthcare https://ift.tt/boJ2cKR

Supreme Court rules to preserve abortion pill access for nowSupreme Court rules to preserve abortion pill access for nowSupreme Court rules to preserve abortion pill access for now

Supreme Court rules to preserve abortion pill access for now

The drug, mifepristone, has been approved for use in the U.S. since 2000 and more than 5 million people have used it.

from Section Page News - Modern Healthcare https://ift.tt/aBbAeRM

HCA buying land for more hospitals as earnings beat expectationsHCA buying land for more hospitals as earnings beat expectationsHCA buying land for more hospitals as earnings beat expectations

HCA buying land for more hospitals as earnings beat expectations

HCA CEO Sam Hazen said adding onto existing facilities isn't always the right strategy.
 

from Section Page News - Modern Healthcare https://ift.tt/2yAceF9

CMS’ Jonathan Blum - Redeterminations will make Medicaid strongerCMS’ Jonathan Blum - Redeterminations will make Medicaid strongerCMS’ Jonathan Blum - Redeterminations will make Medicaid stronger

CMS’ Jonathan Blum - Redeterminations will make Medicaid stronger

CMS Principal Deputy Administrator Jonathan Blum shared his thoughts with Modern Healthcare on the Medicaid redeterminations process, Medicare Advantage programs, star ratings and more. 

from Section Page News - Modern Healthcare https://ift.tt/eAXgvpL

5 HIMSS takeaways to know5 HIMSS takeaways to know5 HIMSS takeaways to know

5 HIMSS takeaways to know

Generative AI solutions like ChatGPT were among the hot topics at this week's event.

from Section Page News - Modern Healthcare https://ift.tt/J9KhukL

States fighting scammers as Medicaid redeterminations resumeStates fighting scammers as Medicaid redeterminations resumeStates fighting scammers as Medicaid redeterminations resume

States fighting scammers as Medicaid redeterminations resume

Fraudsters have been calling Medicaid enrollees and demanding cash if they want to keep their insurance. 

from Section Page News - Modern Healthcare https://ift.tt/eYAVxQS

HIMSS23: HCA Healthcare adds AI voice dictation from Augmedix HIMSS23: HCA Healthcare adds AI voice dictation from Augmedix HIMSS23: HCA Healthcare adds AI voice dictation from Augmedix

HIMSS23: HCA Healthcare adds AI voice dictation from Augmedix

Augmedix also raised $12 million of equity from HCA Healthcare and institutional healthcare investor Redmile Group.

from Section Page News - Modern Healthcare https://ift.tt/e6X72jq

HHS unveils database on hospice, home health ownershipHHS unveils database on hospice, home health ownershipHHS unveils database on hospice, home health ownership

HHS unveils database on hospice, home health ownership

The announcement advances the Biden administration's efforts to promote transparency and competition and protect consumers.

from Section Page News - Modern Healthcare https://ift.tt/ZfqlCYu

Express Scripts to boost pay for rural pharmacies Express Scripts to boost pay for rural pharmacies Express Scripts to boost pay for rural pharmacies

Express Scripts to boost pay for rural pharmacies

Express Scripts plans to pay independent rural pharmacies more when they hit certain outcome-based metrics. 

from Section Page News - Modern Healthcare https://ift.tt/RWY9CUd

What for-profit systems' top execs earned in 2022What for-profit systems' top execs earned in 2022What for-profit systems' top execs earned in 2022

What for-profit systems' top execs earned in 2022

Compensation dropped substantially in 2022 for executives at the largest for-profit health systems. 

from Section Page News - Modern Healthcare https://ift.tt/aoVWc1X

LCMC Health files lawsuit against feds over proposed hospital dealLCMC Health files lawsuit against feds over proposed hospital dealLCMC Health files lawsuit against feds over proposed hospital deal

LCMC Health files lawsuit against feds over proposed hospital deal

LCMC said it is seeking a declaratory judgment determining the proposed $150 million deal is not subject to federal regulatory review.

from Section Page News - Modern Healthcare https://ift.tt/BtxQ0E4

Malpractice insurance premiums see a big bump: AMAMalpractice insurance premiums see a big bump: AMAMalpractice insurance premiums see a big bump: AMA

Malpractice insurance premiums see a big bump: AMA

Increased malpractice premiums could hurt the ability to deliver care, the AMA warned.

from Section Page News - Modern Healthcare https://ift.tt/l1tDi4W

Elevance Health profits up despite employer client lossesElevance Health profits up despite employer client lossesElevance Health profits up despite employer client losses

Elevance Health profits up despite employer client losses

During the company's Q1 earnings call, executives discussed plans to market the company's pharmacy benefits management and other services to employers who contract with other insurers.

from Section Page News - Modern Healthcare https://ift.tt/hRocLJn

Supreme Court to make abortion pill ruling WednesdaySupreme Court to make abortion pill ruling WednesdaySupreme Court to make abortion pill ruling Wednesday

Supreme Court to make abortion pill ruling Wednesday

The Supreme Court is expected to issue a ruling Wednesday on the Texas case in which abortion opponents seek to roll back FDA approval of mifepristone.

from Section Page News - Modern Healthcare https://ift.tt/zAgwKrF

Instacart CEO launches AI-enabled medical and research center Instacart CEO launches AI-enabled medical and research center Instacart CEO launches AI-enabled medical and research center

Instacart CEO launches AI-enabled medical and research center

Metrodora, the medical and research center, will rely on digital health and artificial intelligence to help quickly translate research into clinical care.

from Section Page News - Modern Healthcare https://ift.tt/GJQxA2b