Finances: Page
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Low-quality healthcare persists in high-income countries, report finds
The study found that 10% of patients in high-income countries are harmed during medical treatment and 15% of hospital expenditures in those countries come from mistakes or hospital-acquired infections.
By Les Masterson • July 10, 2018 -
Healthcare startups raise $15B across 779 deals in first half of year
June was a slow month, however, with investments down 3% from the prior year, according to a Pitchbook analysis for Forbes.
By Meg Bryant • July 10, 2018 -
Florida practitioners agree to pay $1.7M to resolve false claims case
FWC Urogynecology reportedly used Medicare billing codes to inflate payments.
By Les Masterson • July 6, 2018 -
Centene completes Fidelis Care buy
The $3.75 billion deal gives Centene a big presence in New York State.
By Meg Bryant • July 6, 2018 -
American Well raises $291M, aims for $315M total
The telehealth operator is partnering with Philips to embed virtual care services in a range of products.
By Meg Bryant • July 5, 2018 -
Deep Dive
The boons of — and barriers to — behavioral health integration
An increasing number of clinics are trying a collaborative care model, but reimbursement, structural and historical barriers remain an obstacle.
By Les Masterson • July 5, 2018 -
Humana, private equity firms complete Kindred acquisition
The agreement separates Kindred into two companies, with Humana picking up a 40% share in Kindred at Home.
By Les Masterson • July 3, 2018 -
Digital health funding sets new H1 record with $3.4B across 193 deals
The sustained growth reflects the sector’s maturation along with a healthy venture ecosystem, a new Rock Health report says. However, despite bullish investment in digital health startup, exits have been slow.
By Meg Bryant • July 3, 2018 -
CMS: Unsubsidized ACA enrollment dropped 20% in 2017
The agency used new data to make their case that federal and state-based exchanges and state individual health insurance markets are in turmoil.
By David Lim • July 3, 2018 -
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
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