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

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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.

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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.

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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.

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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.

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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.

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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

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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.

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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.

 

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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. 

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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.

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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.

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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. 

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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.

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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.

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