Finances: Page 82
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Pharma, payers clash over CMS Part D drug rebate plan
The drug, pharmacy benefit managers and insurance industries are squabbling over a CMS proposal to require Part D sponsors to pass on a percentage of rebates to consumers.
By David Lim • Jan. 18, 2018 -
Hospitals, payers and docs collaborate on prior authorization
Trade groups for major healthcare players say they share a "commitment to industry-wide improvements to prior authorization processes and patient-centered care."
By Les Masterson • Jan. 17, 2018 -
Uninsured rate in 2017 had biggest increase in a decade
The rate increased in all demographic groups except for senior citizens, but went up most for young adults, blacks, Hispanics and low-income Americans.
By Les Masterson • Jan. 17, 2018 -
GE CEO sparks company break-up talk
The company announced more than $11 billion in charges from its long-term care insurance portfolio and through changes to the tax code.
By Les Masterson • Jan. 17, 2018 -
MetroHealth unveils 'hospital in a park' project
The plan will transform a 52-acre site into a "green, transit- and pedestrian-friendly zone" and increase green space to 25 acres.
By Les Masterson • Jan. 15, 2018 -
CHS to sell off more hospitals this year
Chinese investor Tianqiao Chen has upped his stake in Community Health Systems to 24%.
By Meg Bryant • Jan. 12, 2018 -
Deep Dive
Trump admin's new bundle bid shows value-based care's staying power
Advocates of value-based payment reform breathed a sigh of relief last week when CMS announced a new bundled payment model.
By Shannon Muchmore • Jan. 12, 2018 -
Worldwide ambulance market to reach $48.9B by 2025
Advanced life-support ambulance services are expected to dominate the market over the next eight years.
By Meg Bryant • Jan. 12, 2018 -
ACA did little to boost hospital community benefit spending, study shows
Average spending on community benefits increased 0.5% from 2010 to 2014.
By Meg Bryant • Jan. 11, 2018 -
AHA, health systems appeal 340B decision
The House Energy & Commerce Committee issued a report Wednesday that offered a series of suggestions to improve oversight of the program that gives drug discounts to some hospitals.
By Les Masterson • Jan. 11, 2018 -
Physician practices see increased operating losses, survey shows
Total losses per physician grew from a median of $95,000 in 2016 to nearly $141,000 last year.
By Meg Bryant • Jan. 11, 2018 -
ACOs flock to Medicare Shared Savings Program
Most of the ACOs in a risk-based contract chose Track 1+, which is the latest risk model.
By Les Masterson • Jan. 11, 2018 -
CMS extends Maryland all-payer program for another year
Maryland is working with the agency on a larger proposal to include outpatient services.
By Les Masterson • Jan. 10, 2018 -
Tenet increases company layoffs to 2K
The hospital operator recently announced plans to divest two properties and expects to reap millions in lower taxes from the new tax law.
By Meg Bryant • Jan. 9, 2018 -
Allscripts to buy Practice Fusion for $100M
The deal is expected to close in the first quarter of this year.
By Jeff Byers , Meg Bryant • Jan. 9, 2018 -
Deep Dive
Could narrow networks be the next big cost cutter?
Narrow provider networks can mean lower costs, but also less flexibility for members and likely lower patient satisfaction.
By Les Masterson • Jan. 9, 2018 -
Health Affairs: Ending Medicaid expansion would cause rural hospitals to go under
Researchers found Medicaid expansion improved hospital finances and meant a substantially lower chance that hospitals — especially rural facilities — closed.
By Les Masterson • Jan. 9, 2018 -
Avalere: Value-based care movement will overcome speed bumps this year
The annual report predicted a year full of changes to the healthcare system, including additional attempts to repeal the ACA, mergers and technological changes.
By Les Masterson • Jan. 8, 2018 -
Uncompensated care increased for community hospitals in 2016
An AHA report found that 4,840 community hospitals provided a total of $38.3 billion in uncompensated care in 2016, up from $35.7 billion in 2015.
By Les Masterson • Jan. 8, 2018 -
CVS expects $1.2B increase in annual net income from tax bill
Adjusted earnings per share are expected to be at the lower end of the $1.88-$1.92 range announced during the company’s 2017 Q3 earnings call.
By David Lim • Jan. 5, 2018 -
A.M. Best improves outlook for health insurance industry to 'stable'
A new report from the ratings agency said multiple payer product lines remain profitable despite issues in the individual market.
By Les Masterson • Jan. 4, 2018 -
Colorado law requires hospitals post prices for common procedures
Beginning Jan. 1, state hospitals must provide self-pay pricing information for the 50 most used diagnosis-related group codes and 25 most-used procedural technology billing codes.
By Les Masterson • Jan. 3, 2018 -
2.3% medical device tax resumes after 2-year hiatus
The controversial tax was among several levies as part of the Affordable Care Act.
By Meg Bryant • Jan. 3, 2018 -
Hospital groups press on with 340B lawsuit despite judge's decision
The changes to the 340B drug prescription program went into effect on Jan. 1 and will mean huge prescription payment cuts to hospitals.
By Les Masterson • Jan. 3, 2018 -
CMS proposes Medicare Advantage risk adjustment increase
The proposal would increase payments for MA members with mental health issues, substance use disorder and chronic kidney disease starting in 2019.
By Les Masterson • Jan. 2, 2018
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