For-profit hospitals’ struggles with declining admissions will be made worse if more states enact work requirements in their Medicaid programs, according to a new report from Fitch Ratings.
Jan 30, 2018 | Finance
Brittany Cloyd went into the emergency room in July 2017 with a worsening fever and stomach pain, she told Vox. The 27-year-old's family thought it might be appendicitis. Instead, she was diagnosed with ovarian cysts, a condition her insurer, Anthem, said wasn’t worth a trip to the ER—so it wouldn’t cover her $12,596 hospital bill.
Jan 29, 2018 | Finance
Hospital groups have sued CMS to reverse $1.6 billion in cuts to Medicare payments made under the 340B drug discount program, but a new study from Avalere said only 15 percent of facilities will see a net payment reduction thanks to redistributing those funds under the Outpatient Prospective Payment System (OPPS).
Jan 29, 2018 | Finance
2017 will go down as the year mergers and acquisitions activity “shook the healthcare landscape,” according to a report from Kaufman Hall, with more deals worth $1 billion or more being announced than in any prior year.
Jan 26, 2018 | Finance
Boston’s Partners HealthCare and Providence, R.I.-based Care New England have agreed to enter into a definitive merger agreement, though one has not yet been signed nine months after the systems began exclusive negotiations.
Jan 24, 2018 | Finance
Out-of-pocket healthcare spending fell by 12 percent in the two years after the Affordable Care Act (ACA) was fully implemented, but premiums rose by the same percentage.
Jan 23, 2018 | Finance
Increased prices for many healthcare services were almost entirely responsible for driving up healthcare spending by 15 percent between 2012 and 2016, according to a report by the Health Care Cost Institute (HCCI).
Jan 23, 2018 | Finance
Hackensack University Medical Center could be on the hook to pay back millions in property taxes if the Hackensack, New Jersey, city council gets its way.
Jan 22, 2018 | Finance
If accountable care organizations (ACOs) had moved from the upside-only Track 1 of the Medicare Shared Savings Program and assumed downside risk, they would’ve earned an additional $966 million if they qualified for the 5 percent bonus for Advanced Alternative Payment Models (AAPMs). Without that bonus, however, the financial benefits would disappear.
Jan 22, 2018 | Finance
A board member of UNC Health Care has alleged the health system may have acted illegally by conducting closed-door negotiations on a proposed merger with Carolinas HealthCare System “for the better part of a year” without informing the board. The board’s leaders responded by saying that member has a conflict of interest and shouldn’t be involved with the deal.
Jan 22, 2018 | Finance
Monday morning saw the announcement of two very expensive acquisitions in the biopharmaceutical industry: France’s Sanofi buying U.S. hemophilia drugmaker Bioverativ and Celgene spending $9 billion to buy the remaining 90 percent of cancer immunotherapy specialist Juno Therapeutics.
Jan 16, 2018 | Finance
Care New England, the second-largest hospital system in Rhode Island, has been in negotiations since last April for a sale to Boston-based Partners HealthCare. Now it has some new potential suitors: Brown University and Prospect Medical Holdings.
Jan 16, 2018 | Finance
General Electric (GE) has experienced a lot of change in recent years, but a much bigger transformation could be on the horizon as a new report indicates the company is considering breaking itself apart.
Jan 15, 2018 | Finance
Gary, Indiana-based Methodist Hospitals and Mishawaka, Indiana-based Franciscan Alliance have decided not to merge 10 months after announcing a potential union.
Jan 12, 2018 | Finance
The Medicare Shared Savings Program (MSSP) will have 561 accountable care organizations (ACOs) participating in 2018, including 124 new entrants into the program, covering a total of 10.5 million assigned beneficiaries, according to CMS.
Jan 10, 2018 | Finance
The American Hospital Association, America’s Essential Hospitals, the Association of American Medical Colleges and three health systems will appeal the dismissal of its lawsuit seeking to block $1.6 billion in cuts to Medicare payments made through the 340B drug discount program.
Finance
Jan 10, 2018 | Finance
Later this year, providers wanting to take advantage of the 5 percent bonus for participating in an Advanced Alternative Payment Model (AAPM) can join the new Bundled Payments For Care Improvement-Advanced Model (BPCI-A) launched by CMS on Jan. 9.
Finance
Jan 09, 2018 | Finance
The University of Pennsylvania Health System, also known as Penn Medicine, has finalized its acquisition of the Plainsboro, New Jersey-based Princeton HealthCare System (PHCS) extending its reach into the Garden State.
Finance
Jan 08, 2018 | Finance
America’s Essential Hospitals has announced a new advocacy and advertising campaign seeking a delay in cuts to Medicaid Disproportionate Share Hospital (DSH) payments, which are set to be reduced by $2 billion in the current fiscal year.
Finance
Jan 08, 2018 | Finance
The expansion of Medicaid eligibility under the Affordable Care Act (ACA) made hospitals less likely to close, especially in rural markets, according to study published in the January edition of Health Affairs.
Finance
Jan 05, 2018 | Finance
In a report touting the contributions physicians make to the U.S. economy, the American Medical Association said physicians were supporting more jobs, tax revenues, wages and generating more economic activity in 2015 than they were three years earlier.
Finance