The Latest
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Medicare improper payment rate falling, but up in Medicaid, CHIP
For Medicare fee-for-service, the improper payment rate was at 7.25% last year, which CMS said is the lowest since 2010.
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AMA ushers in LGBTQ, immigration, other new policies
The influential physician group's House of Delegates voted to update training guidelines on topics like treating gays and lesbians and how the healthcare financing system works.
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CommonSpirit growing pains lead to quadrupled operating loss in 1st quarter
The nine-month-old nonprofit health system, struggling to integrate Dignity Health and Catholic Health Initiatives into one organization, also reported relatively flat operating revenue.
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Providers take next step in social determinants: hyperlocalism
Industry can "help others have an uncomfortable dialogue about what is truly driving health outcomes in this country," Atrium Health's Alisahah Cole said at the Healthcare of Tomorrow conference.
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Sutter to pay $45M on DOJ kickback, overbilling claims
The dominant system serving Northern California has agreed to pay about $75 million to settle various claims so far this year. The latest claims relate to alleged financial arrangements with physicians to incentivize them to refer patients to Sutter.
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SponsoredYou thought HIPAA compliance was enough: Introducing the HITRUST CSF
The HITRUST CSF certification is the most comprehensive and widely applied security framework in the U.S. healthcare system today.
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Hospitals pledge to fight Trump admin price transparency plan in court
In a Friday afternoon press conference, President Donald Trump said patients have "been getting ripped off for years" and HHS Secretary Alex Azar said the requirements are a "revolutionary" change for the industry.
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Abiomed's Impella may be associated with higher costs, more adverse events than balloon therapy, studies find
"In the long term, who knows how this will play out?" Jefferies analyst Raj Denhoy asked amid a 10% drop in share price. "In terms of the stock, it isn't great."
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IT execs call for HIPAA overhaul in 'Project Nightingale' wake
"People aren't doing anything against the law, but we're starting to think differently," Geisinger's chief informatics data officer said. "There's the legal court and then the court of public opinion, and that's starting to shift a little bit."
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In stents v. statins debate, analysts call potential impact of Ischemia trial overhyped
The study seemed to favor a conservative approach to treating stable heart disease. But many sell-side analysts called results expected, predicting they won't meaningfully hurt sales for device makers like Boston Scientific.
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An expanding Mayo Clinic sees net income double
The nonprofit reported financials for the first three quarters of 2019 as well as details on an expansion into the United Kingdom.
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Hospitals — and now insurers — to reveal secret rates under latest Trump admin pitch
Industry lobbies have argued the government lacks authority to issue such mandates and are sure to fight back against what would be a landmark shift in healthcare.
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JAMA: Lower cost hospitals have similar patient outcomes as higher cost counterparts
A new study in JAMA Network Open questions the assumption that patient acuity and case mix have as much of an impact on patient cost as the priciness of the individual hospital itself.
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Doctors give their EHRs an F for usability
"The findings will not come as a surprise to anyone who practices medicine," American Medical Association President Patrice Harris said in a statement.
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FDA clears Pentax duodenoscope with disposable part in bid to cut infection risk
Center for Devices and Radiological Health Director Jeff Shuren called the clearance "another major step toward lowering the risk of infection among patients," and said duodenoscope safety is a top priority for the agency.
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Hospitals waste billions on bad supply chain management, Navigant says
Unnecessary spending on supply chain products and related operations reached $25.7 billion in 2018, according to the study of 2,127 hospitals.
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HHS office awards $6M contract to improve antibiotic use
The contract will fund Inflammatix's efforts to distinguish between bacterial and viral infections, in a bid to limit overprescribing of antibiotics and the emergence of superbugs.
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Highmark inks joint venture deal to provide at-home care
The health system said home services are available to commercial plan members in Western Pennsylvania, and MA beneficiaries will be eligible Jan. 1. It hopes to expand the offering to West Virginia and Delaware.
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Landmark Apple Watch AFib study yields mixed results
Researchers touted an apparent low incidence of false positives, but many who didn't receive a notification were subsequently diagnosed with atrial fibrilation, according to research published in the New England Journal of Medicine.
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SponsoredThe value-based care crossroad: How health plans can remain on course
Why are providers finding the transition from traditional fee-for-service to newer value-based care models to be such a bumpy road?
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Sanford, UnityPoint scrap plan to create $11B system
The union would have created one of the largest nonprofit health systems, with a significant footprint throughout the Midwest.
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Nascent digital therapeutics group defines best practices, ethics code
The two-year-old group is looking to distinguish higher-risk products that claim to prevent, manage or treat a disease from more general digital health lifestyle and wellness apps.
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Providers shell out $2.76B annually to update directories
Medical practices spend nearly $1,000 per month updating lists of insurers' in-network providers, according to a new report from an alliance of big payers.
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CMS pitches ramped up oversight of Medicaid payments, promises block grant guidance
Provider lobbies clapped back Wednesday against the proposed rule, with America's Essential Hospitals calling it a "deeply damaging" policy that would erode state flexibility and the medical safety net.
UPDATED: Nov. 13, 2019 at 9:22 a.m. -
Timeline of the Affordable Care Act — still under siege
A decision is expected any day on a lawsuit challenging the constitutionality of the ACA, a law that is no stranger to controversy and ire.
