Hospitals sue HHS to recoup adjusted DSH paymentsHospitals sue HHS to recoup adjusted DSH paymentsHospitals sue HHS to recoup adjusted DSH payments

Hospitals sue HHS to recoup adjusted DSH payments

Regulators are unjustly withholding tens of millions of dollars in adjusted Medicare disproportionate share hospital payments, more than 40 hospitals allege in a lawsuit.

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As demand for travel nurses drops, states debate payment capsAs demand for travel nurses drops, states debate payment capsAs demand for travel nurses drops, states debate payment caps

As demand for travel nurses drops, states debate payment caps

Pay for travel nurses rose during the COVID-19 pandemic, but some hospitals have accused staffing agencies of price gouging. They're asking states to act.

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Pear Therapeutics in need of a financial lifeline Pear Therapeutics in need of a financial lifeline Pear Therapeutics in need of a financial lifeline

Pear Therapeutics in need of a financial lifeline

Without any outside financial help, Pear said it may need to liquidate or restructure. 

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Diversity in medical schools elusive despite effortsDiversity in medical schools elusive despite effortsDiversity in medical schools elusive despite efforts

Diversity in medical schools elusive despite efforts

A new generation of doctors is joining the workforce this month. They still aren't representative of the nation's demographics despite years of diversity programs.

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Bright Health reports financial shortfall, boosts exec payBright Health reports financial shortfall, boosts exec payBright Health reports financial shortfall, boosts exec pay

Bright Health reports financial shortfall, boosts exec pay

Bright Health Group also reported that CEO Mike Mikan and Chief Financial Officer Cathy Smith received extra compensation amid its financial crisis.

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Crozer Health to cut 4% of employees as it battles financial woesCrozer Health to cut 4% of employees as it battles financial woesCrozer Health to cut 4% of employees as it battles financial woes

Crozer Health to cut 4% of employees as it battles financial woes

The layoffs and restructuring come seven months after ChristianaCare Health System backed out of its planned acquisition of Crozer.

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New Sutter Health CEO sets sights on staffing, capacity New Sutter Health CEO sets sights on staffing, capacity New Sutter Health CEO sets sights on staffing, capacity

New Sutter Health CEO sets sights on staffing, capacity

Sutter will look to partner with Northern California academic institutions to shore up its workforce over the long term.

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Medicaid allowances fail to meet basic needs of nursing home residentsMedicaid allowances fail to meet basic needs of nursing home residentsMedicaid allowances fail to meet basic needs of nursing home residents

Medicaid allowances fail to meet basic needs of nursing home residents

The Medicaid personal needs allowance is meant to pay for anything not provided by the nursing home, but Congress hasn't raised that $30 allowance in decades.

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Health systems struggle to fill beds amid care delivery shiftsHealth systems struggle to fill beds amid care delivery shiftsHealth systems struggle to fill beds amid care delivery shifts

Health systems struggle to fill beds amid care delivery shifts

A slew of nonprofit and for-profit health systems reported fewer admissions in 2022, a factor that often coincided with big financial losses.

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Bright Health's Florida crisis portends more troubleBright Health's Florida crisis portends more troubleBright Health's Florida crisis portends more trouble

Bright Health's Florida crisis portends more trouble

For the past six months, Bright Health has needed an okay from Florida regulators for transactions exceeding $10,000. More states are eying its shaky finances.

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Michigan-based Sparrow Health reports $171.5 million loss in 2022Michigan-based Sparrow Health reports $171.5 million loss in 2022Michigan-based Sparrow Health reports $171.5 million loss in 2022

Michigan-based Sparrow Health reports $171.5 million loss in 2022

The system was hardest hit by rising wages for its staff. Compensation and benefits expenses grew by more than $55.2 million in 2022 over the year prior.

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Nonprofit hospitals receive $28 billion in tax exemptions:KFFNonprofit hospitals receive $28 billion in tax exemptions:KFFNonprofit hospitals receive $28 billion in tax exemptions:KFF

Nonprofit hospitals receive $28 billion in tax exemptions:KFF

The Kaiser Family Foundation study also noted that systems provide just $16 billion in charity care.

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A state-by-state look at the impact of Medicaid determinations A state-by-state look at the impact of Medicaid determinations A state-by-state look at the impact of Medicaid determinations

A state-by-state look at the impact of Medicaid determinations

Centene could lose up to $11 billion in revenue once states resume removing ineligible people from Medicaid. Molina Healthcare's risk is even higher.

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General Catalyst launches at-home startup amid economic uncertainty General Catalyst launches at-home startup amid economic uncertainty General Catalyst launches at-home startup amid economic uncertainty

General Catalyst launches at-home startup amid economic uncertainty

Newly launched startup Maribel is led by former Mission Health CEO Dr. Ron Paulus and former Bayada Home Healthcare Chief Medical Officer Dr. Adam Groff.

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Connecticut-based Covenant Health terminates merger with Day Kimball Connecticut-based Covenant Health terminates merger with Day Kimball Connecticut-based Covenant Health terminates merger with Day Kimball

Connecticut-based Covenant Health terminates merger with Day Kimball

The decision comes weeks before the state's Office of Health Strategy was scheduled to hold a public hearing on the planned merger.

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Goldman Sachs fund manager describes Outcome Health investmentGoldman Sachs fund manager describes Outcome Health investmentGoldman Sachs fund manager describes Outcome Health investment

Goldman Sachs fund manager describes Outcome Health investment

The fund manager knew there would be trouble after he read a Wall Street Journal story that accused the startup of overbilling and misleading drug companies.

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Google tackles Medicaid redeterminations by updating search algorithmGoogle tackles Medicaid redeterminations by updating search algorithmGoogle tackles Medicaid redeterminations by updating search algorithm

Google tackles Medicaid redeterminations by updating search algorithm

Google announced updates related to search, artificial intelligence and interoperability at its annual Check Up event today. 

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Providence invests in virtual physical therapy Providence invests in virtual physical therapy Providence invests in virtual physical therapy

Providence invests in virtual physical therapy

Luna in-home physical therapists will work with Providence Swedish patients in the Puget Sound, Washington area starting in April. 

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Digital health picks itself up after Silicon Valley Bank collapse Digital health picks itself up after Silicon Valley Bank collapse Digital health picks itself up after Silicon Valley Bank collapse

Digital health picks itself up after Silicon Valley Bank collapse

Industry stakeholders say an institution like Silicon Valley Bank is needed to fund digital health innovators.

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Feds take aim at prior authorizationFeds take aim at prior authorizationFeds take aim at prior authorization

Feds take aim at prior authorization

Recent proposed changes would force health plans to speed up prior authorization decisions and provide more information about the reasons for denials.

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Appeal sought in landmark UnitedHealth class-action caseAppeal sought in landmark UnitedHealth class-action caseAppeal sought in landmark UnitedHealth class-action case

Appeal sought in landmark UnitedHealth class-action case

In 2019, a federal court ordered UnitedHealth Group's United Behavioral Health to reprocess 67,000 behavioral health claims and revise its coverage guidelines.

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Pediatric mental health, workplace violence are top 2023 safety concerns: ECRIPediatric mental health, workplace violence are top 2023 safety concerns: ECRIPediatric mental health, workplace violence are top 2023 safety concerns: ECRI

Pediatric mental health, workplace violence are top 2023 safety concerns: ECRI

The industry’s main patient safety concerns stem from longstanding issues of staffing and pandemic-related stressors.

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