Health Care Compliance Brief

ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

Healthcare Dive

APRIL 17, 2024

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

Medicare

Medicare Medicare Hospitals

Envision Healthcare names permanent CEO

Healthcare Dive

APRIL 17, 2024

Jason Owen took on the leadership role this week, months after the physician staffing firm emerged from bankruptcy restructuring.

Steward bankruptcy likely as massive debt remains, with few options left

Healthcare Dive

APRIL 16, 2024

Steward Health Care’s forbearance period ends in less than 15 days. Analysts say this time, creditors are unlikely to extend the embattled company another lifeline.

UnitedHealth expects up to $1.6B hit from Change cyberattack this year

Healthcare Dive

APRIL 16, 2024

Investors on Tuesday got a clearer picture of the cyberattack's financial fallout on the healthcare juggernaut. Some said it wasn't as bad as they'd feared.

Telehealth company Cerebral to pay $7M fine over data sharing

Healthcare Dive

APRIL 16, 2024

The Federal Trade Commission alleged the digital mental healthcare company had provided sensitive data to third parties and maintained “sloppy” security practices.

Elevance partners with private equity firm on primary care

Healthcare Dive

APRIL 16, 2024

The payer has inked a deal with Clayton, Dubilier and Rice to join their primary care assets as Elevance looks to catch up with peers like UnitedHealth and CVS in care delivery.

Cybersecurity takes center stage at AHA annual meeting

Healthcare Dive

APRIL 16, 2024

In the wake of the Change Healthcare attack, experts advised hospital leaders to increase their cyber defenses. Change will not be the last sector-wide attack, they warned.

Hospitals

New federal health IT strategy increases focus on public health, AI

Healthcare Dive

MARCH 28, 2024

The draft plan builds on its predecessor, which the health IT agency said drove “significant progress” in the use and exchange of electronic health information.

Public Health

Healthcare companies expand perks to recruit talent: report

Healthcare Dive

MARCH 27, 2024

The increase stands in contrast to other industries, which have cut back on extra offerings year over year.

Senior lawmaker questions UnitedHealth over Change cyberattack

Healthcare Dive

MARCH 26, 2024

Rep. Jamie Raskin, D-Md., said UnitedHealth’s “rapid consolidation and vertical integration” has major consequences for the healthcare sector, including increased control of the health IT market.

Ascension will outsource Illinois hospitalist functions to PE-backed staffing firm

Healthcare Dive

MARCH 26, 2024

Beginning June 1, the Catholic health system will cede responsibility of hospitalist functions to staffing firm SCP Health.

Tax breaks exceed community care spending at large majority of nonprofit hospitals: report

Healthcare Dive

MARCH 26, 2024

Nonprofits’ cumulative “fair share” deficit is enough to pay off the medical debt of everyone in California, Texas, New York and Pennsylvania combined, according to the Lown Institute.

Hospitals

Elevance completes Paragon Health acquisition

Healthcare Dive

MARCH 11, 2024

The infusion services and drug therapy company will operate under CarelonRx, Elevance’s pharmacy benefit manager.

Small, financially struggling providers at risk from Change cyberattack: Moody’s

Healthcare Dive

MARCH 11, 2024

Larger providers, however, aren’t immune from cash flow challenges, especially if UnitedHealth Group is unable to restore systems by mid-March.

Federal government probes healthcare private equity deals

Healthcare Dive

MARCH 6, 2024

The cross-agency investigation comes as scrutiny rises regarding corporate consolidation in healthcare.

Governance

Dexcom receives FDA clearance for first OTC glucose sensor

Healthcare Dive

MARCH 6, 2024

The diabetes tech firm tailored its software to the 25 million people in the U.S. who have Type 2 diabetes and do not use insulin.

FDA

UMass Memorial, Google Cloud partner to connect patients with cardiometabolic drugs

Healthcare Dive

MARCH 6, 2024

The central Massachusetts nonprofit’s aim is to improve population health, but its partnership with Google on data management and AI should also lower costs.

Walgreens’ VillageMD to exit Illinois

Healthcare Dive

MARCH 1, 2024

The primary care chain plans to shutter its remaining clinics in the state by April 19 as Walgreens continues to cut costs.

Molina loses Medicaid contract in Virginia

Healthcare Dive

MARCH 1, 2024

It’s the second recent Medicaid state loss for Molina, despite executives expressing confidence about the insurer’s ability to retain contracts.

Medicaid

Medicaid Medicaid

Cleveland Clinic posts $911M net gain in 2023 on investment, volume growth

Healthcare Dive

MARCH 1, 2024

The health system is the latest to report a financial turnaround compared to 2022, which analysts called the worst operational year on record for nonprofit hospitals.

Hospitals

Change Healthcare cyberattack having ‘far-reaching’ effects on providers

Healthcare Dive

MARCH 1, 2024

Providers said the outage at the UnitedHealth-owned technology company has affected billing, eligibility checks, prior authorization requests and prescription fulfillment.

Trinity Health cuts operating losses by 85% in first half of 2024

Healthcare Dive

FEBRUARY 26, 2024

Revenue from acquisitions and outpatient services helped the Catholic health system trim losses.

R1 RCM receives takeover offer from New Mountain

Healthcare Dive

FEBRUARY 26, 2024

The private equity firm’s offer represents a 24% premium to R1’s closing price on Friday, but could be undervaluing the company, analysts said.

False claims settlements in healthcare reached $1.8B in fiscal year 2023

Healthcare Dive

FEBRUARY 26, 2024

According to the Department of Justice, enforcement in Medicare Advantage is of “critical importance” as the number of beneficiaries in the privatized insurance program swells.

Medicare

Medicare Medicare

CMS finalizes rule to cut Medicaid DSH payments for some hospitals

Healthcare Dive

FEBRUARY 21, 2024

Under the new definition, hospitals can only receive disproportionate share hospital Medicaid reimbursements for beneficiaries who are primarily insured by the safety-net program.

Medicaid

Medicaid Medicaid Hospitals

Medicare Advantage plans provide less intensive post-acute care, study finds

Healthcare Dive

FEBRUARY 21, 2024

The research found no differences in 30-day hospital readmissions or mortality, but the study’s authors said more analysis on patients’ long-term functioning was needed.

Medicare

Medicare Medicare Hospitals

Teladoc still looking for tech investments, M&A amid operational review

Healthcare Dive

FEBRUARY 21, 2024

The telehealth vendor is trimming expenses, but it could pursue deals with strategically or financially attractive companies.

Disputes over surprise billing continue to soar, new CMS data shows

Healthcare Dive

FEBRUARY 16, 2024

Arbiters are mostly selecting the higher payment offer in billing dispute determinations. That suggests No Surprises could actually raise premiums for consumers, one health researcher said.

House subcommittee grills VA, Oracle over pharmacy issues amid EHR rollout

Healthcare Dive

FEBRUARY 15, 2024

Rollout of the new electronic health record has been rocky, with system reliability and safety concerns plaguing the Department of Veterans Affairs.

Department of Veterans Affairs

CommonSpirit trims operating losses in second quarter

Healthcare Dive

FEBRUARY 16, 2024

The nonprofit posted improved net income, but rising expenses continued to vex the system.

Telehealth services during pandemic largely compliant with Medicare, OIG finds

Healthcare Dive

FEBRUARY 16, 2024

The latest audit from HHS’ Office of Inspector General comes as some Medicare flexibilities for telehealth are set to expire at the end of this year.

Medicare

Medicare Medicare

Chicago children’s hospital network still offline following ‘cybersecurity matter’

Healthcare Dive

FEBRUARY 7, 2024

Lurie Children’s Hospital first reported the outage last week. Phone, email and electronic systems are still down.

Hospitals

HHS settles cybersecurity investigation with Montefiore Medical Center

Healthcare Dive

FEBRUARY 7, 2024

The nonprofit will pay $4.75 million to settle allegations that data security failures allowed an employee to steal and sell the protected health information of thousands of patients, according to the HHS.

FDA extends deadline for comments on role of digital health in diabetes detection

Healthcare Dive

JANUARY 31, 2024

The agency is seeking answers on how digital health technologies could be used in the detection of prediabetes and Type 2 diabetes.

FDA

Healthcare execs must consider workforce, consumer concerns about generative AI: survey

Healthcare Dive

FEBRUARY 1, 2024

Leaders were most likely to rate data quality, availability and reliability as their greatest concerns. Deloitte researchers urge a broader focus.

Nurse sues UPMC over alleged labor abuses

Healthcare Dive

JANUARY 23, 2024

The lawsuit seeks to represent thousands of other UPMC employees who may have been affected by the nonprofit’s alleged wage suppression and other anticompetitive practices.

Nurses

HSHS to close Wisconsin hospitals, health centers due to financial challenges

Healthcare Dive

JANUARY 23, 2024

Hospital Sisters Health System is shuttering operations in Western Wisconsin as nonprofits struggle to rebound from pandemic-related challenges.

Hospitals

Bon Secours Mercy Health, vendor hit with lawsuit after data breach

Healthcare Dive

JANUARY 23, 2024

The suit alleges the health system and a vendor failed to implement standards or promptly alert people whose data may have been exposed following a cyberattack.

Allina Health CFO to depart

Healthcare Dive

JANUARY 19, 2024

The Minneapolis-based nonprofit will launch a nationwide search for a successor to Ric Magnuson, who has served Allina for over 25 years.

Financial distress drove nearly a third of hospital M&A in 2023: Kaufman Hall

Healthcare Dive

JANUARY 19, 2024

Mergers and acquisitions increased last year as health systems sought strong partners while expanding capabilities in “core” markets, the consultancy said.

Hospitals

Nuance’s AI clinical scribe integrated with Epic is now generally available

Healthcare Dive

JANUARY 19, 2024

More than 150 health systems, hospitals and medical centers will deploy the Dragon Ambient eXperience Copilot embedded within Epic, the Microsoft-owned company said.

Hospitals

Patient records exposed in data breaches doubled in 2023

Healthcare Dive

JANUARY 18, 2024

Though the number of data breaches declined slightly from 2022, more than 116 million records were exposed last year, according to a new report from a cybersecurity firm.

Mortality rates low for hospital-at-home patients, study finds

Healthcare Dive

JANUARY 9, 2024

The study could support extending acute hospital care at home, researchers said. Currently, a pandemic-era waiver for the programs is set to expire at the end of the year.

Hospitals

Most nonprofit hospitals and health systems had ‘strong’ cash reserves in 2022, KFF finds

Healthcare Dive

JANUARY 9, 2024

An analysis of cash on hand suggests that, despite declining operating margins, some nonprofit health systems had enough of a financial cushion to weather tough operating conditions in 2022.

Hospitals

Healthcare Dive

ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

Envision Healthcare names permanent CEO

Trending Sources

Steward bankruptcy likely as massive debt remains, with few options left

UnitedHealth expects up to $1.6B hit from Change cyberattack this year

Telehealth company Cerebral to pay $7M fine over data sharing

Elevance partners with private equity firm on primary care

Cybersecurity takes center stage at AHA annual meeting

New federal health IT strategy increases focus on public health, AI

Healthcare companies expand perks to recruit talent: report

Senior lawmaker questions UnitedHealth over Change cyberattack

Ascension will outsource Illinois hospitalist functions to PE-backed staffing firm

Tax breaks exceed community care spending at large majority of nonprofit hospitals: report

Elevance completes Paragon Health acquisition

Small, financially struggling providers at risk from Change cyberattack: Moody’s

Federal government probes healthcare private equity deals

Dexcom receives FDA clearance for first OTC glucose sensor

UMass Memorial, Google Cloud partner to connect patients with cardiometabolic drugs

Walgreens’ VillageMD to exit Illinois

Molina loses Medicaid contract in Virginia

Cleveland Clinic posts $911M net gain in 2023 on investment, volume growth

Change Healthcare cyberattack having ‘far-reaching’ effects on providers

Trinity Health cuts operating losses by 85% in first half of 2024

R1 RCM receives takeover offer from New Mountain

False claims settlements in healthcare reached $1.8B in fiscal year 2023

CMS finalizes rule to cut Medicaid DSH payments for some hospitals

Medicare Advantage plans provide less intensive post-acute care, study finds

Teladoc still looking for tech investments, M&A amid operational review

Disputes over surprise billing continue to soar, new CMS data shows

House subcommittee grills VA, Oracle over pharmacy issues amid EHR rollout

CommonSpirit trims operating losses in second quarter

Telehealth services during pandemic largely compliant with Medicare, OIG finds

Chicago children’s hospital network still offline following ‘cybersecurity matter’

HHS settles cybersecurity investigation with Montefiore Medical Center

FDA extends deadline for comments on role of digital health in diabetes detection

Healthcare execs must consider workforce, consumer concerns about generative AI: survey

Nurse sues UPMC over alleged labor abuses

HSHS to close Wisconsin hospitals, health centers due to financial challenges

Bon Secours Mercy Health, vendor hit with lawsuit after data breach

Allina Health CFO to depart

Financial distress drove nearly a third of hospital M&A in 2023: Kaufman Hall

Nuance’s AI clinical scribe integrated with Epic is now generally available

Patient records exposed in data breaches doubled in 2023

Mortality rates low for hospital-at-home patients, study finds

Most nonprofit hospitals and health systems had ‘strong’ cash reserves in 2022, KFF finds

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