Editorial: More doom and gloom from the CMS
February 21, 2019Over the past decade, CMS actuaries have consistently overestimated future healthcare spending. They failed to foresee the great moderation that in fact took place.
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Florida governor hopes his state will be first to import drugs from Canada
February 21, 2019Florida's Republican governor wants his state to become the first to import drugs from Canada, and he is asking his friend President Donald Trump for help.
White House wants to hear about insurers' challenges with grandfathered ACA plans
February 21, 2019The Trump administration wants to know what challenges employer and group health plans face in maintaining grandfathered status for Affordable Care Act plans.
Thousands could lose Medicaid coverage in Louisiana
Louisiana's health department has notified tens of thousands of Medicaid recipients they could be booted from the program after a newly implemented computer check found they earn too much to receive the taxpayer-financed health coverage.
U.S. government joins lawsuit against Abbott companies
The units bought by Abbott Laboratories are accused of submitting false Medicare claims for unnecessary devices for diabetic patients and paying kickbacks to the patients.
Whistle-blower accuses HCA of fraudulent billing practices
February 21, 2019In an unsealed False Claims Act case in California federal court, a former Regional Medical Center nurse alleges that administrators billed ICU, medical-surgical and telemetry services on an inpatient basis when the patient was still located in the emergency department.
UPMC countersues AG, seeks to join antitrust case against Blues plans
February 21, 2019UPMC filed a countersuit against Pennsylvania's attorney general and is seeking to join antitrust litigation against Blue Cross and Blue Shield in hopes of contracting with Blues plans other than Highmark.
Nearly a quarter of rural hospitals are on the brink of closure
February 20, 2019Twenty-one percent of rural hospitals are at high risk of closing, according to a new report. That equates to 430 hospitals across 43 states that employ about 150,000 people and generate about $21.2 billion in patient revenue.
CVS' bottom line sags after Aetna takeover
February 20, 2019CVS Health reported higher revenue but a net loss in the fourth-quarter—the first period for reporting some contribution from its newly acquired health insurer Aetna.
House lawmakers to investigate measles outbreak
February 20, 2019A key congressional health committee will launch an investigation into the measles outbreak next week, as FDA Commissioner Dr. Scott Gottlieb warns federal action may be required because of lax state vaccination laws.
CHS shrinks loss in fourth quarter
February 20, 2019Community Health Systems reported a $328 million loss in fourth quarter, which compares favorably with the year-earlier quarterly loss of $2 billion.
CMS lost $84M in two years for ineligible nursing home stays
The CMS pays millions of dollars a year to nursing homes for taking care of older adults who do not qualify for coverage, according to an investigation by HHS' inspector general.
Industry, analysts clash over scope of balance billing legislation
February 20, 2019As congressional lawmakers work on legislation to end surprise medical bills, industry wants to keep it simple. And narrow.
Dignity Health saw rocky end to 2018 as revenue and investments tumble
February 20, 2019Dignity Health weathered investment losses in the latter half of 2018, but its revenue also took a hit.
Healthcare spending will hit 19.4% of GDP in the next decade, CMS projects
February 20, 2019Healthcare spending growth will rise at an annual average of 5.5% over the next decade, slightly faster than in the past few years, due to the aging of the baby boomers and healthcare price growth, the CMS reported Wednesday.
Insurers, hospitals agree in telling CMS to keep 'silver-loading'
February 20, 2019Insurers, hospitals and state regulators are wary of the CMS ending "silver-loading" on Affordable Care Act plans.
Report: 85% of Tennessee maternal deaths preventable
An overwhelming majority of all Tennessee's maternity deaths in 2017 could have been prevented, according to a new report released Tuesday that was commissioned to address the state's high maternal deaths.
Medicaid expansion and funding face threats in several states
February 19, 2019Medicaid expansion and funding face serious political challenges in several Western and Great Plains states, following expansion ballot initiatives and legislative and gubernatorial elections in those states.
Mayo Clinic latest health system to report hit by volatile equities market
February 19, 2019Mayo Clinic's total investment returns fell 94% in 2018 year-over-year as the not-for-profit system weathers volatile markets.
CommonSpirit Health's CHI posts $424 million loss in latest quarter
February 19, 2019Catholic Health Initiatives was hit by the sharp year-end downturn in the stock market in 2018, posting a bottom line loss of $424.3 million, a $627 million swing from the year-earlier quarterly profit of $203.6 million.
