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Providers say inpatient pay adjustment for inflation not sufficient
Groups like the American Hospital Association had asked for more adjustments, but the CMS declined to set aside its regulatory payment formula.
By Shannon Muchmore • Aug. 2, 2022 -
Hospitals face sixth straight month of negative margins, report finds
Month-to-month increases in patient volumes were not enough to offset the growing cost of care, according to a Monday report from Kaufman Hall.
By Susan Kelly • Aug. 2, 2022 -
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New York sues CVS Health, alleging it deprived some hospitals of millions in 340B savings
CVS said in a statement that the “allegations are without merit and we will defend ourselves vigorously.”
By Samantha Liss • July 29, 2022 -
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Molina’s profit rises to $248M on higher Q2 membership
The insurer’s premium revenue increased 18% in the second quarter compared with the prior-year period as the payer saw membership increase 9%.
By Samantha Liss • July 29, 2022 -
Courtesy of Teladoc
Teladoc shares tumble amid weak guidance, inflation headwinds
Teladoc recorded another major net loss in the second quarter, driven in part by the Livongo acquisition’s goodwill impairment charge.
By Rebecca Pifer Parduhn • July 28, 2022 -
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CHS shares fall 36% after $326M Q2 loss
The for-profit hospital operator missed Wall Street expectations on revenue and saw admissions decline 3.4% year over year.
By Hailey Mensik • Updated July 28, 2022 -
UHS net income cut in half as system predicts COVID impact will persist through 2022
The health system — which warned investors it was experiencing a significant shortfall in operational results in June — still performed better than analysts expected.
By Rebecca Pifer Parduhn • July 26, 2022 -
Samantha Liss/Healthcare Dive
Centene posts $172M loss in Q2
Despite the loss, the payer beat analyst expectations in a number of key metrics and raised its financial outlook for the remainder of the year.
By Samantha Liss • July 26, 2022 -
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UHS explores joint ventures, aggressive managed care negotiations as costs increase
The system has been in conversation with acute care hospitals that have existing behavioral health services but feel they could be more efficient, CFO Steve Filton told investors Tuesday.
By Rebecca Pifer Parduhn • July 26, 2022 -
Amazon will see you now: reading between the lines of the One Medical acquisition
The deal’s near-term ramifications are unlikely to be monumental. But it should be concerning for One Medical’s primary care competitors and larger entities looking to capture a greater slice of the healthcare market, experts said.
By Rebecca Pifer Parduhn • July 25, 2022 -
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Tenet stock jumps as system reins in Q2 labor costs
However, the chain’s inpatient volumes fell year over year. Executives said a cybersecurity incident in April was partially to blame.
By Sydney Halleman , Hailey Mensik • July 22, 2022 -
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HCA beats Wall Street expectations in Q2 after earlier dip in guidance
The Nashville-based hospital operator beat Wall Street expectations on revenue, which rose about 3%, but net income slipped nearly 20% compared to the same time last year.
By Hailey Mensik , Sydney Halleman • July 22, 2022 -
Courtesy of Sutter Health
Sutter inks 10-year contract with R1 RCM
SVB Leerink analysts noted Sutter runs on Epic EHR systems, while previous deals have mostly involved health systems using Cerner. That opens the door to further Epic deals, they said.
By Shannon Muchmore • July 21, 2022 -
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Elevance shares fall as medical spending metric increases
Bloomberg reported the drop was the largest intraday decline in two years for Elevance, formerly known as Anthem.
By Samantha Liss • July 21, 2022 -
Amazon to buy One Medical for $3.9B
The all-cash deal for San Francisco-based One Medical comes after months of speculation about a potential acquisition, but Amazon as the buyer comes as a surprise.
By Rebecca Pifer Parduhn • July 21, 2022 -
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Hospitals need 'transformational changes' to stem margin erosion
A combination of higher rate hikes, aggressive cost-cutting and M&A could help ailing nonprofits avoid negative rating actions, according to Fitch.
By Susan Kelly • July 20, 2022 -
Lawmakers urge HHS to fine drugmakers restricting 340B drug discounts
Currently, 18 drug manufacturers are limiting discounts dispensed through pharmacies that contract with 340B providers, according to a letter from bipartisan House members to HHS Secretary Xavier Becerra.
By Rebecca Pifer Parduhn • July 18, 2022 -
UnitedHealth to offer some drugs, including insulin, at no cost share in 2023
The new offering is a bid to address inflationary pressures and prevent worse health outcomes down the line, CEO Andrew Witty told investors Friday.
By Rebecca Pifer Parduhn • July 15, 2022 -
Megadeals lift healthcare M&A revenues to record in Q2
Fewer but larger deals are becoming the norm in the hospital sector, according to Kaufman Hall's latest update on deal activity.
By Susan Kelly • July 14, 2022 -
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Digital health funding is cooling down
This year’s trajectory suggests overall funding will fall significantly short of last year’s, as investor confidence is shaken by global conflict and inflation concerns, according to Rock Health reports.
By Rebecca Pifer Parduhn • July 12, 2022 -
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CMS proposed payment rule includes major updates for ACOs
Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.
By Shannon Muchmore • July 8, 2022 -
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Feds brokered record $5B in healthcare fraud cases last year
Cases ranged from improper psychiatric treatment to providing false Medicare claims and illegal kickback schemes.
By Rebecca Pifer Parduhn • July 6, 2022 -
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UHS lowers financial outlook on 'unfavorable' operating environment, making good on April warning
UHS is not the first system to slash guidance this year citing adverse operating conditions, trailing peers HCA and CHS.
By Rebecca Pifer Parduhn • June 30, 2022 -
Health services M&A slowed in Q1, but rebound anticipated
Private equity and corporate funding remains available and is driving competition for assets, especially for physician medical groups, home health organizations and long-term care facilities.
By Susan Kelly • June 27, 2022 -
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Inequities in healthcare cost nearly $320B annually, new research shows
Spending due to inequities that drive late diagnoses and comorbidities is only expected to rise over the next few decades without intervention, according to research from Deloitte.
By Hailey Mensik • June 22, 2022
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