Finances: Page 77


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    Digital health off to roaring start with $1.62B across 77 deals

    The top-funded category was digital diagnostics, followed by disease monitoring.

    By April 6, 2018
  • Ascension to stop medical, surgical services at Milwaukee hospital

    The hospital serves a largely low-income neighborhood of the city.

    By April 6, 2018
  • Austin-based St. David's HealthCare adds 9-clinic network

    The acquisition reflects hospitals' growing focus on low-acuity delivery of care as a future revenue stream.

    By April 6, 2018
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    Opioid prescriptions down while addiction, overdose costs rise

    The Kaiser Family Foundation looked at claims data for large employers between 2004 and 2016 to examine treatment costs from the opioid crisis.  

    By Les Masterson • April 6, 2018
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    SCI Solutions adds patient engagement to portfolio with DatStat acquisition

    The deal is the latest sign that health IT M&A is an area to watch in 2018.

    By April 5, 2018
  • Pop health program reduced ED use, inpatient hospitalizations

    A new Health Affairs study found that a Baylor Scott & White Health and Wellness Center program with the Dallas Park and Recreation Department showed cost savings after one year.  

    By Les Masterson • April 5, 2018
  • Lafayette General threatens to shutter hospital amid budget impasse

    LGH said that without funding either Louisiana State University will have to take over University Hospitals & Clinics again or the health system will close the hospital and lay off its employees on July 1.  

    By Les Masterson • April 5, 2018
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    Medicaid FFS biggest factor in billing headaches, report finds

    A Health Affairs study found that there are more challenged claims with traditional Medicaid than involving other payers. Also, Medicaid payments take longer to process than others, including Medicare.  

    By Les Masterson • April 4, 2018
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    Payers get better-than-expected Medicare Advantage rate increase

    CMS also increased the role encounter data will play in determining risk scores and announced policies to target opioid abuse.  

    By Les Masterson • April 3, 2018
  • Medicare ACOs missing federal cost-savings predictions, analysis finds

    The finding raises questions about the long-term success of the Medicare Shared Savings Program, which has swelled to 561 ACOs from 27 six years ago.

    By April 2, 2018
  • Walmart reportedly in early talks to acquire Humana

    The companies already partner on Medicare Part D drug plans, but a deal, floated in the WSJ, could boost Humana's group market offerings to compete with other major insurers, a Mercer consultant suggests.

    By David Lim • April 2, 2018
  • Oscar Health raises $165M from investors

    The payer said profitability is "around the corner," but the ACA market it focuses on has not been lucrative for insurers and faces a potentially unstable future.  

    By Les Masterson • March 29, 2018
  • Ascension selling Connecticut hospital to Hartford HealthCare

    The deal comes as Ascension is refocusing its long-term strategy away from hospitals and toward outpatient care and telemedicine.

    By March 28, 2018
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    Healthcare M&A leading to higher prices in California

    A University of California, Berkeley study said northern California pays much higher healthcare prices than the southern part of the state.  

    By Les Masterson • March 28, 2018
  • Supply chain woes delay and disrupt care, OR staff says

    A Cardinal Health survey found that OR providers said hospital supply chain problems lead to procedure delays and cancellations, which can harm patient health and hospital bottom lines.  

    By Les Masterson • March 28, 2018
  • HHS panel recommends testing 2 alternative palliative care payment models

    Also, a new Health Affairs article explored the complexity of including hospice care in Medicare Advantage.  

    By Les Masterson • March 28, 2018
  • Urgent care center market on track to hit $26B by 2023

    This year's severe flu season is driving growth in the acute care segment of the market, according to a new report.

    By March 27, 2018
  • Plans shirking ACA rules could spur more out-of-network care

    Allowing health coverage to be sold across state lines could also limit oversight, a report by state regulators said.

    By Les Masterson • March 27, 2018
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    Aetna to offer point of sale pharmacy rebates to 3M customers

    The insurer has opposed the CMS idea to mandate that Part D sponsors pass on a percentage of rebates to customers at the point of sale.  

    By David Lim • March 27, 2018
  • Most employers short of tipping point for health coverage

    The American Health Policy Institute predicted employers won't be rushing to drop health insurance as a benefit, but some will go that route in the face of unmanageable healthcare costs.

    By Les Masterson • March 26, 2018
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    Mission Health seeks to be acquired by HCA Healthcare

    "Given the inevitability of consolidation, we wanted it to be our choice long before we are forced to make one," said Mission, the sixth-largest health system in North Carolina.

    By David Lim • March 23, 2018
  • Centene fined $100K for not fixing provider network inadequacies

    The Washington state insurance commissioner says the payer has not adhered to its compliance plan following a $1.5 million fine last December. 

    By David Lim • March 23, 2018
  • Advocate-Aurora merger clears regulatory hurdle, on track for April 1 close

    The merger would create the 10th largest U.S. nonprofit, integrated system, with combined annual revenues of about $11 billion.   

    By Les Masterson • March 22, 2018
  • Highmark Health's provider arm has best ever operating performance year

    The company said its ACA plans were also profitable for the first time in 2017.  

    By Les Masterson • March 21, 2018
  • White House report targets health insurer profitability

    The Council of Economic Advisers report argues many insurance companies' net profit margins have returned to pre-ACA levels on the backs of taxpayers.

    By David Lim • March 21, 2018