Finances: Page 67
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Cigna-Express Scripts merger cleared by DOJ
Federal regulators said the deal "is unlikely to result in harm to competition or consumers." Eyes now turn to the proposed Aetna-CVS union.
By Samantha Liss • Sept. 17, 2018 - 
                    
                    
                        
                    
                    
                    
Patient attribution crucial part of value-based contracting, actuaries say
There are trade-offs between attribution methods that rely on retrospective reviews of fee-for-service claims and those that attribute patients in advance of performance periods, according to a Society of Actuaries report.
By Les Masterson • Sept. 17, 2018 - 
                    
                    
                        
                    
                    
                    
Hospital operating margins dropped 39% over 3 years
Lower demand, Medicare payments and collection rates, as well as the move to value-based contracting, led to the decrease, according to a Navigant report.
By Les Masterson • Sept. 13, 2018 - 
                    
                    
                        
                    
                    
                    
Evolent buys New Century Health to beef up specialty care
The value-based care services company is looking to expand its influence over costs and move into Medicare Advantage, a high-growth area.
By Les Masterson • Sept. 13, 2018 - 
                    
                    
                        
                    
                    
                    
Managed care companies, providers would benefit from Medicaid expansion
Four states with ballot initiatives this fall to expand Medicaid could boost bottom lines of big-name payers and health systems, according to a new report.
By Les Masterson • Sept. 12, 2018 - 
                    
                    
                        
                    
                    
                    
Calls for more transparency after Memorial Sloan controversy
Renowned breast cancer researcher José Baselga, also CMO at Memorial Sloan Kettering, accepted millions of dollars from companies but failed to reveal those payments in published research.
By Meg Bryant • Sept. 11, 2018 - 
                    
                    
                        
                    
                    
                    
Mayo Clinic plans $800M expansion in Arizona, Florida
The health system will roughly double the size of its Phoenix campus with added clinical space and infrastructure. Over the next 10 years, the project will add 2,000 new jobs, including 200 physicians.
By Meg Bryant • Sept. 7, 2018 - 
                    
                    
                        
                    
                    
                    
Life science CEOs see future in technology, disruption
A KPMG survey also showed that cybersecurity remains a major pain point, with 33% of executives calling it the top risk to their organization's growth.
By Meg Bryant • Sept. 6, 2018 - 
                    
                    
                        
                    
                    
                    
Physician-led ACOs saw savings in Medicare program
Hospital-integrated ACOs, however, didn't have the same success, according to a study published in the New England Journal of Medicine.
By Les Masterson • Sept. 6, 2018 - 
                    
                    
                        
                    
                    
                    
Ascension exits Northwest with sale of Washington hospital
The largest Catholic health system in the country has completed the sale of Lourdes Health Network to Brentwood, Tennessee-based RCCH HealthCare Partners, a for-profit firm.
By Samantha Liss • Sept. 6, 2018 - 
                    
                    
                        
                    
                    
                    
More patients sidestepping ED for low-acuity problems
Despite growing use of lower-cost care options, spending for low-acuity conditions rose 14% between 2008 and 2015, according to a report published in JAMA Internal Medicine.
By Meg Bryant • Sept. 6, 2018 - 
                    
                    
                        
                    
                    
                    
JAMA studies show upsides of CMS bundled payment models
The reports found reduced institutional post-acute discharges with the CJR program and no increase in patient volume for the BPCI model.
By Les Masterson • Sept. 6, 2018 - 
                    
                    
                        
                    
                    
                    
HCA to buy North Carolina health system for $1.5B
The proposed sale, first announced in March, was met with concern by some in the state worried that for-profit ownership would result in closed facilities and less access to care for rural areas.
By Les Masterson • Sept. 4, 2018 - 
                    
                    
                        
                    
                    
                    
NYP reports lower net income, higher expenses in H1
The New York City-based nonprofit health system's flagship hospital has been ranked No. 1 in the metro area by the U.S. News and World Report for 18 consecutive years.
By Les Masterson • Sept. 4, 2018 - 
                    
                    
                        
                    
                    
                    
Cleveland Clinic's operating income plummets 80% in Q2
The picture of strong revenues and declining operating income is being seen across the industry as hospitals juggle smaller inpatient volumes and lower reimbursement with rising labor and operating costs.
By Meg Bryant • Aug. 31, 2018 - 
                    
                    
                        
                    
                    
                    
Nonprofit hospitals 'on an unsustainable path,' Moody's says
The ratings agency said nonprofits are continuing to outspend their revenues and the gap is widening.
By Les Masterson • Aug. 30, 2018 - 
                    
                    
                        
                    
                    
                    
Banner Health net income slides 33% despite strong revenues
The Phoenix-based nonprofit health system benefited from increased patient revenues and insurance plan premiums in the first half of this year.
By Meg Bryant • Aug. 30, 2018 - 
                    
                    
                        
                    
                    
                    
Next-Gen ACOs saved $62M in first reporting year, CMS says
Half of the drop in spending and utilization stemmed from just four of the 18 NGACOs active in 2016, according to a report from the agency.
By Meg Bryant • Aug. 28, 2018 - 
                    
                    
                        
                    
                    
                    
Hospitals see labor costs rising amid ongoing doctor, nurse shortages
More than a third of hospital CFOs said the physician shortfall is worse now than this time last year.
By Meg Bryant • Aug. 24, 2018 - 
                    
                    
                        
                    
                    
                    
Kaiser posts nearly $40B in revenue for H1, but net income drops 21%
Kaiser invested $26 million on capital projects, including opening new facilities and upgrading existing ones, and launched a $200 million project aimed at reducing homelessness.
By Meg Bryant • Aug. 24, 2018 - 
                    
                    
                        
                    
                    
                    
One Medical gets up to $350M infusion from The Carlyle Group
The Alphabet-backed concierge medicine platform will use the funds to expand its U.S. footprint.
By Meg Bryant • Aug. 23, 2018 - 
                    
                    
                        
                    
                    
                    
Mayo reports higher Q2 revenue, lower operating income
The Rochester, Minnesota-based nonprofit health system, named top hospital for the third year in a row by U.S. News & World Report, has several projects in the works management expects to boost results.
By Tony Abraham • Aug. 22, 2018 - 
                    
                    
                        
                    
                    
                    
Nearly 20% of US hospitals weak or at risk of closing, analysis finds
Key risk factors including low capital expenditures, more capacity in a 10-mile radius and for-profit versus nonprofit status, the Morgan Stanley report said.
By Rebecca Pifer • Aug. 22, 2018 - 
                    
                    
                        
                    
                    
                    
Tenet exits UK market with sale of Aspen Healthcare to UAE hospital chain
The deal comes as Tenet seeks to pare down more than $14 billion in long-term debt.
By Meg Bryant • Aug. 21, 2018 - 
                    
                    
                        
                    
                    
                    
CMS gives $8.6M to states to help stabilize ACA exchanges
Thirty states and the District of Columbia will receive less than $300,000 each from rate review grants established by the Affordable Care Act.
By Les Masterson • Aug. 21, 2018