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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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. 

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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.

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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. 

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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