Friday, April 21, 2023

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.



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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.
 



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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. 



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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.



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Thursday, April 20, 2023

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. 



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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.



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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.



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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. 



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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. 



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Wednesday, April 19, 2023

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.



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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.



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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.



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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.



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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.



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SSM Health-Bright Health lawsuit could be first of manySSM Health-Bright Health lawsuit could be first of manySSM Health-Bright Health lawsuit could be first of many

SSM Health-Bright Health lawsuit could be first of many

Bright Health allegedly owes SSM Health nearly $13.1 million in unpaid claims, according to a complaint filed against the startup insurance company.



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Tuesday, April 18, 2023

Johns Hopkins Health, Sibley Memorial settle payment violationsJohns Hopkins Health, Sibley Memorial settle payment violationsJohns Hopkins Health, Sibley Memorial settle payment violations

Johns Hopkins Health, Sibley Memorial settle payment violations

Sibley Memorial Hospital, part of Johns Hopkins Health System, disclosed the Stark Law violations.



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FDA approves another COVID-19 booster dose for older adultsFDA approves another COVID-19 booster dose for older adultsFDA approves another COVID-19 booster dose for older adults

FDA approves another COVID-19 booster dose for older adults

The COVID-19 booster dose was cleared Tuesday and is for older adults and people with weak immune systems.



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Meharry Medical College settles false claims allegationsMeharry Medical College settles false claims allegationsMeharry Medical College settles false claims allegations

Meharry Medical College settles false claims allegations

As part of the settlement, the school will implement a Medicare billing policy and provide training to faculty and residents.



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Congress should adopt site-neutral post-acute payments: MedPACCongress should adopt site-neutral post-acute payments: MedPACCongress should adopt site-neutral post-acute payments: MedPAC

Congress should adopt site-neutral post-acute payments: MedPAC

MedPac recommends Congress lower the payments to all post-acute care settings except long-term care hospitals and look to temporarily adopt smaller, site-neutral policies.



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Optum Ventures invests $75M in autism startupOptum Ventures invests $75M in autism startupOptum Ventures invests $75M in autism startup

Optum Ventures invests $75M in autism startup

Cortica also acquired Springtide Child Development, which operates six applied behavioral analysis clinics in Connecticut and Massachusetts. 



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Obstetrics faces declines in residency applicants, servicesObstetrics faces declines in residency applicants, servicesObstetrics faces declines in residency applicants, services

Obstetrics faces declines in residency applicants, services

States with abortion bans saw a 10.5% decrease in OB-GYN residency applicants this year following the Supreme Court's overturning of Roe v. Wade.



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Monday, April 17, 2023

The Check Up: Robert Riney, Henry Ford HealthThe Check Up: Robert Riney, Henry Ford HealthThe Check Up: Robert Riney, Henry Ford Health

The Check Up: Robert Riney, Henry Ford Health

The president and CEO discusses how the health system's massive Detroit expansion came to be and where the system is headed next. 



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Epic, Microsoft bring GPT-4 to EHRsEpic, Microsoft bring GPT-4 to EHRsEpic, Microsoft bring GPT-4 to EHRs

Epic, Microsoft bring GPT-4 to EHRs

Health systems using Epic's EHR system will be able to run generative AI solutions like GPT-4 through Microsoft's OpenAI Azure Service.



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Clover Health cuts 10% of staff, outsources 'core plan operations'Clover Health cuts 10% of staff, outsources 'core plan operations'Clover Health cuts 10% of staff, outsources 'core plan operations'

Clover Health cuts 10% of staff, outsources 'core plan operations'

The  insurance company said its decision to outsource its administrative functions and cut jobs will result in a charge of up to $9 million. 



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Surge in supply chain shortages disrupting hospital operations Surge in supply chain shortages disrupting hospital operations Surge in supply chain shortages disrupting hospital operations

Surge in supply chain shortages disrupting hospital operations

Health systems are managing an exponential increase in the number of devices and drugs on backorder. 



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Insurers partner on campaign to build outdoor fitness courtsInsurers partner on campaign to build outdoor fitness courtsInsurers partner on campaign to build outdoor fitness courts

Insurers partner on campaign to build outdoor fitness courts

Health Care Service Corporation and Blue Cross Blue Shield of Massachusetts have partnered with the National Fitness Campaign to promote preventive health.



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Health systems turn to venture capital amid financial challengesHealth systems turn to venture capital amid financial challengesHealth systems turn to venture capital amid financial challenges

Health systems turn to venture capital amid financial challenges

Some health systems are working with venture capital firms to invest in innovation. But experts stress the risks related to ethical issues.



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Opinion: We need new strategic relationships between quality and financeOpinion: We need new strategic relationships between quality and financeOpinion: We need new strategic relationships between quality and finance

Opinion: We need new strategic relationships between quality and finance

The future of healthcare is where quality impacts finance more than ever, and vice versa, CEOs Joseph Fifer and Stephanie Mercado say.



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