Finances: Page 73
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Drug, device companies gave docs, teaching hospitals $8.4B in 2017
The amount includes $2.82 billion for non-research payments, such as meals, fees and travel to speaking events.
By Les Masterson • July 3, 2018 -
CMS pitches MA demo letting doctors avoid MIPS rules
Administrator Seema Verma said the pilot looks to "put Medicare Advantage on a more equal playing field with fee-for-service Medicare.”
By Les Masterson • July 2, 2018 -
Deep Dive
Return of the house call
Big systems like Johns Hopkins and CMS itself are increasingly looking to home-based care.
By Les Masterson • July 2, 2018 -
Atlantic Health, MedExpress collaborate on urgent care project
The partnership will allow MedExpress’ urgent care patients to get care at an Atlantic Health System facility if advanced care is needed.
By Les Masterson • July 1, 2018 -
Earnings gap between employed, self-employed healthcare professionals narrows
A new JAMA study highlights the trend of physicians moving away from self-employment.
By Les Masterson • June 29, 2018 -
CMS clears Medicaid value-based drug state plan, denies closed formulary
The agency also made clear that drugs approved by the FDA under its accelerated approval pathway must be covered by state Medicaid programs if they are defined as a "covered outpatient drug."
By David Lim • June 28, 2018 -
Most healthcare organizations polled ready for value-based care
The HealthLeaders Media report also found many companies lack the necessary infrastructure to make payment model changes.
By Les Masterson • June 28, 2018 -
Mayo, BCBS deal includes downside risk, prior authorization limits
The five-year contract calls for a collaborative governance structure that would guide care for organ transplants, radiation therapies and genomics.
By Les Masterson • June 28, 2018 -
CMS to step up scrutiny of state Medicaid programs
MLR audits will focus on states "based on the amount spent on clinical services and quality improvement versus administration and profit."
By David Lim • June 27, 2018 -
New partnership aims to launch employer bundled payment programs
Healthcare purchasers are working with Remedy Partners to create a national episode-based payment platform.
By Les Masterson • June 27, 2018 -
GE to spin off healthcare unit in latest restructuring
Moody's and investors applauded the move, which comes amid a reboot of the health division.
By Meg Bryant • June 27, 2018 -
Few post-acute care facilities took part in voluntary CMS bundle model
Nearly half of those that took part dropped out, raising questions about the effectiveness of programs that are not mandatory.
By Les Masterson • June 26, 2018 -
Medicare Part A funding will dry up by 2026, KFF finds
Medicare Advantage payments nearly doubled over 10 years, according to a new analysis from Kaiser Family Foundation.
By Les Masterson • June 24, 2018 -
Wildflower buys Providence St. Joseph women's health platform
The sale is the second "incubated solution" from the health system sold over the past year.
By Les Masterson • June 24, 2018 -
Veritas' Verscend to buy healthcare payment company Cotiviti
The new, merged business will operate as a private healthcare IT company.
By Les Masterson • June 21, 2018 -
Allegheny Health Network plans four micro-hospitals
The neighborhood hospitals, part of a for-profit venture with Emerus, are planned for construction in western Pennsylvania.
By Les Masterson • June 21, 2018 -
Deep Dive
Hospital CEO pay rises steadily, but still lags many sectors
Median CEO pay at hospital and health systems is stable with very modest increases in the range of 2.5% to 3% year-over-year.
By Les Masterson • June 20, 2018 -
Bruce Bennett via Getty Images
AMA opposes CVS-Aetna deal
Company officials argued the deal could reduce healthcare spending, improve efficiencies and help patients with chronic illnesses, but the AMA said less healthcare competition would be bad for consumers.
By Les Masterson • June 20, 2018 -
Deductibles, coinsurance on the rise, but cost of copays are down
A new Peterson-Kaiser Health System Tracker report on large employer health plans also found that insurers are paying slightly less on covered medical expenses than a decade ago.
By Les Masterson • June 20, 2018 -
Nonprofit hospitals vulnerable to declining rate of insured, S&P says
To date, the rise in uninsured has no discernible effect on for-profit hospitals. But over time it could hurt credit ratings for nonprofit hospitals and health systems.
By Meg Bryant • June 19, 2018 -
Humana, Walgreens expand primary care program for seniors
The companies will partner on two new senior-focused primary care clinics in the Kansas City, Missouri area.
By Les Masterson • June 19, 2018 -
Hospitals to lose $218B in federal payments by 2028, study predicts
The Federation of American Hospitals and the American Hospital Association commissioned a report to look at how 11 pieces of legislation, combined with regulatory changes, are affecting hospital reimbursement.
By Les Masterson • June 18, 2018 -
Payers moving to value-based care faster than expected
Insurers can take a while to implement programs, however, with 21% needing 18 months and 13% requiring up to two years or more, according to a survey from Change Healthcare.
By Les Masterson • June 18, 2018 -
Fitch says Medicaid cost growth likely to force states to cut programs
The ratings agency reported that healthcare costs for states have increased more than $300 billion since 2005, and will only grow in the next decade.
By Les Masterson • June 14, 2018 -
Glooko rolls out new diabetes data platform
The tool is an outgrowth from a 2016 merger with fellow diabetes data management company Diasend.
By Meg Bryant • June 13, 2018
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