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    1 in 7 patients get surprise bill after in-network hospital care, HCCI finds

    Anesthesiologists had the highest percentage of out-of-network professional claims in an in-network hospitalization, followed by primary care and emergency services, according to the Health Care Cost Institute.

    By Les Masterson • March 29, 2019
  • Doubt cast on vertical provider integration leading to higher-value care in study

    A new report in Health Care Management Review analyzed research on M&A activity from 1996 to 2016 and found little information on how the practice affects patient outcomes.

    By Les Masterson • March 28, 2019
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    Fitch: Worst may be over for nonprofit hospitals

    Hospitals that figure out how to absorb Medicare reimbursements could benefit from high healthcare use among older patients, the credit rating agency said in its latest report.

    By March 27, 2019
  • Hospital cost containment plateaus, Kaufman Hall reports

    An analysis of more than 600 hospitals showed lower volumes but better revenue numbers last year.

    By Les Masterson • March 25, 2019
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    Managing high-cost claims tops employer benefit plan concerns

    Companies are also offering their workers more perks like telehealth, according to a new Mercer cost trends survey.

    By March 19, 2019
  • Quorum Health's losses top $200M in 2018

    Net operating revenue of the Brentwood, Tennessee-based health system declined 9.3% to $1.88 billion for the year.

    By March 14, 2019
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    Hospital groups say public option would cut payments by 10%

    The American Hospital Association and Federation of American Hospitals argue an opt-in government insurance plan would hit bottom lines and disrupt the insurance market.

    By Tony Abraham • March 13, 2019
  • Healthcare prices rose but use fell across US from 2012-16

    Metro areas along the coast tended to have higher prices than in the Midwest, but there were many examples of neighboring areas with "starkly different" price levels, according to the Health Care Cost Institute.

    By March 12, 2019
  • Population health program growth sputters, though execs agree they're needed

    The potential of losing money in risk-based contracts is the most significant reason health systems are resistant to move into value-based care, according to a new Numerof & Associates report.

    By Les Masterson • March 12, 2019
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    Pharmas, PBMs and payers all take a slice along drug supply chain, Pew says

    As pharmaceutical spending and PBMs take fire in Washington, the report aims to suss out the players pocketing a share as drugs make their way through the system.

    By Les Masterson • March 11, 2019
  • Livongo Health readies for IPO later this year

    The chronic disease management startup has hired Morgan Stanley, Goldman Sachs and J.P. Morgan Chase to underwrite its IPO, according to The Wall Street Journal.

    By March 8, 2019
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    Elizabeth Regan
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    More than half of hospital leaders see supply chain improvement as path to higher margins

    Despite being a high priority, many hospitals rely on outdated methods to manage inventory and related costs, according to a survey conducted by Sage Growth Partners for SCM vendor Syft.

    By March 7, 2019
  • Free-standing ERs costs 22 times more than doctor's office, UnitedHealth study says

    There were at least 566 free-standing ERs in the country in 2016, which was a 42% increase from the previous year and a 155% increase from 2008, according to a UnitedHealth Group report.

    By Les Masterson • March 7, 2019
  • Amazon-JPM-Berkshire Hathaway troika has a name: Haven

    Few concrete details emerged from the branding bid, but Haven's website and a letter from CEO Atul Gawande set lofty guiding principles for the venture.

    By March 6, 2019
  • Feedback for lowering healthcare costs focuses on surprise billing, value-based care

    The American Medical Group Association suggested methods for decreasing administrative burdens, promoting price transparency and encouraging patient engagement and accountability.

    By Les Masterson • March 4, 2019
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    Yujin Kim
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    Deep Dive

    Mixing medicine and money: Why the rise of health system VCs is raising ethical concerns

    More dollars than ever are flowing from VCs affiliated with nonprofit health systems, spurring questions around conflicts of interest.

    By Andrew Dunn • March 4, 2019
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    Beth Israel Lahey Health becomes official

    The merger involving Beth Israel Deaconess Medical Center and Lahey Health creates the second-largest health system in Massachusetts.

    By Les Masterson • March 4, 2019
  • UPMC operating revenue up 20% to $19B in 2018 as it preps for legal bout

    The nonprofit health system reported outpatient revenue grew 25%, admissions increased 15% and physician revenue rose 13% in 2018.

    By March 1, 2019
  • Cleveland Clinic treats record number of patients amid expansion efforts

    The nonprofit health system plans to significantly increase its footprint this year by adding a handful of hospitals in Florida and expanding its reach in international markets such as London and Abu Dhabi.

    By Les Masterson • Feb. 28, 2019
  • UHS beats expectations amid behavioral health, DOJ costs

    Revenue rose for the hospital operator, but headwinds from an ongoing government investigation into behavioral health properties spurred a 28% net income tumble for the quarter.

    By Tony Abraham • Feb. 28, 2019
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    Physicians make their hospitals $2.4M yearly, report finds

    Cardiovascular surgeons make the most on average for their facilities, according to the report by a unit of AMN Healthcare, a medical staffing company.

    By Les Masterson • Feb. 26, 2019
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    1 in 5 rural hospitals at risk of closing, Navigant says

    More than 60% of those facilities are "highly essential" to the heath and economic well-being of their communities, according to a new report.

    By Feb. 21, 2019
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    Hospitals now employ more than 40% of physicians, analysis finds

    The number of hospital-acquired physician practices grew from 35,700 in 2012 to more than 80,000 in early 2018, according to a new report by Avalere Health and the Physicians Advisory Institute.

    By Les Masterson • Feb. 21, 2019
  • Mayo Clinic revenue up 5% to $12.6B in 2018

    The showing came despite a $1 billion investment to implement an enterprise-wide Epic EHR and $50 million in missed revenue due to the transition.

    By Feb. 20, 2019
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    US healthcare spending growth to hit 5.5% by 2027, CMS predicts

    The ballooning American healthcare bill will outstrip growth of the GDP over the next decade, according to an annual government report.

    By Feb. 20, 2019