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healthcare’s negative-sum game, stakeholders who survive and win that game will have to deliver value-for-money, we learn from Trilliant Health’s 2023 Trends Shaping the Health Economy Report. practicing providers” largely found in Trilliant Health’s data trove.
To assess the prevalence of ghost networks, Senate Finance Committee staffers conducted a secret shopper study of 120 mental health provider listings across 12 Medicare Advantage plans. The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories.
It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.
On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The Final Rule is effective June 5, 2023. Parts 417, 422, 423, 455, and 460. 79452 (2022)). 405.902).
The aspirational document sets out the mission that “every individual deserves the right to obtain healthcare that is comprehensive, equitable and compassionate.” Health Populi’s Hot Points: Is there an American Civil Right for healthcare?
What is New: Department of HealthCareAccess and Information (“HCAI”) posted a draft methodology for evaluating applications for the Distressed Hospital Loan Program (“Loan Program”) and is surveying California hospitals to assess interest in the Loan Program. May 16, 2023 – HCAI began surveying California hospitals.
Zaslavsky, who has served as the Company’s President and Chief Operating Officer since December 2022, will assume this role effective June 26, 2023, replacing Mick Ruxin, M.D., Dr. Efrem Castillo joins Aledade as senior vice president for Medicare Advantage. Theralink Technologies, Inc. Casana appoints Shikha Anand, M.D.
Background In a press release dated February 3, 2023, the Department of Justice’s Antitrust Division (“DOJ”) announced the withdrawal of three important policy statements that health systems and providers have relied upon for decades in ordering operations, setting internal protocols, and conducting diligence during transactions.
1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2]
We’ve discussed the hockey-stick rise in the adoption and persistent use of GLP-1 drugs for managing diabetes and obesity here in Health Populi. This graph diagrams utilization, unit cost, and cost as a percent of overall medical cost trend: note that by the middle of 2023, GLP-1 drug costs for Group health plan members comprised 13.6%
Wiley , Professor of Law and Faculty Director of the Health Law and Policy Program at UCLA Law. Wiley The Supreme Court’s decisions have important and long-lasting effects on healthcareaccess, the public’s health, health equity, and the power of communities to create healthier living and working conditions.
It applies to health programs and activities that receive federal financial assistance, known as covered entities. Addressing Current HealthCare Challenges Response to Emerging Issues : Adapt the regulations to address current challenges, including those highlighted by the COVID-19 pandemic.
’ What nurses say must improve at Framingham hospital Southcoast Health named a Recognized Center for Healthcare-AI Tufts Medicine names SVP of revenue cycle Tufts Medicine reports $68.2M Did it work? operating loss, -10.2% operating loss, -10.2%
Medical Society names Hamilton primary care physician as new president Mass. primary care system is in ‘crisis’, says new report Meet the Mass. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. Here’s Why. Luke’s Hospital sees record number of twin births Iowa Gov.
NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B in 2023 Minnesota Hospital Debuts Short-Stay Unit in Response to Capacity Issues Medline partners with St. Luke’s $1.5M
NATIONAL 382 rural hospitals cut chemotherapy, breakdown by state 1 year after Amazon-One Medical deal finalized: What’s happened since ACOs want increased participation of long-term and post-acute care providers ‘Behind the times’: DC tries to catch up with AI’s use in healthcare CMS finalizes DSH payment cuts for some safety-net hospitals: (..)
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s s health, hospital chief says Raising Ky.’s
Mary’s ‘modernization’ project UChicago Medicine AdventHealth Bolingbrook Hospital Names New CFO Nurses asks lawmakers for staffing mandates, hospital leaders disagree Loyola Medicine Burr Ridge outpatient medical center trades for $59.95 Luke Hospital And Living Center Welcome to the organ donation waiting game.
Mary’s ‘modernization’ project UChicago Medicine AdventHealth Bolingbrook Hospital Names New CFO Nurses asks lawmakers for staffing mandates, hospital leaders disagree Loyola Medicine Burr Ridge outpatient medical center trades for $59.95 Luke Hospital And Living Center Welcome to the organ donation waiting game.
acres in Roseville for future primary care center U.S. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. list includes 3 from Arizona ARKANSAS Children’s Miracle Network Raises $5.4M
Charles Cavallo warns that private practices have three major threats These are Louisville’s HealthCare Heroes Senate bill would lift conditions for Ky. NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5%
Receiver unravels financial mess at Boston nursing home Baystate Health, Wellpoint reach multi-year contract agreement Cardinal Health opens medical product distribution center in Massachusetts Changing blood test protocol could improve patient care, catch disease sooner Mass. operating margin in Q3 JLL Arranges $13.4M
Vincent Parkview Health’s ASC strategy: 2 updates Indiana hospital margins lag behind nation, with some budgets in the red Report shows Indiana hospitals lost more than $700 million in income in 2023 Two Indiana Hospitals Receive a “D” in Patient Safety Franciscan Health to partner with nonprofits Beacon Health System receives $5.4M
million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.
Mary’s hospitals in $100M deal University of California reaches $975M deal to buy 4 hospitals from Tenet University of the Pacific doubles size of physician assistant program with new building in Oak Park How a new California agency aims to cap your healthcare costs California healthcare workers won a path to $25 minimum wage.
Elizabeth ranks second UofL Health – Heart Hospital recognized by Becker’s Hospital Review Waystar buys fellow health tech firm HealthPay24 West Louisville nonprofit calls on Rep. Morgan McGarvey to improve healthcareaccess COVID hospitalizations jump again: Where do West Virginia, Ohio and Kentucky stand?
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. hospitals Why can’t Rhode Island find a state health director? R1 RCM posts $3.3M R1 RCM posts $3.3M
NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R. Newsom seeks changes to California’s new healthcare wage law Prime completes California hospital sale Rare disease tech company was rolled up two years ago.
Judge denies challenge to measure that would cap LA hospital exec pay COLORADO Builders show little interest in city, hospital employee housing project Capitol Pain Institute acquires 3 Colorado practices, ASC Colorado lawmakers seek financial information from hospitals in larger debate over healthcare costs Colorado to advance $1.4
NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural healthcare Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%
investment Q&A: Population Health Company Navvis’ New CEO Courtney Fortner SSM Health names 1st digital chief St. area philanthropist opens women’s wellness center in Bethesda D.C. public relations firm strikes second acquisition after landing PE investment D.C.’s
in false claims Georgia ranked as one of the worst states for children’s health in 2023 Georgia’s maternal mortality rate still one of the highest in U.S., MedStar Transport Celebrates 40 years of service C. Here’s what you need to know. Georgia physician found liable for $1.1M
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acquisition of Oak Street Health to expand primary care footprint Did Hospitals Violate EMTALA by Failing to Provide Abortion Care? Question drives Pa.
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Workers at another D.C. Bipartisan Ky. hospital company Kansas City Orthopaedic Institute appoints new CEO Kansas City University’s new research center aims to answer: ‘How do we keep people well?’
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lawmakers are considering legislation to require licenses for non-medical home care Mass. health benefits agency running out of cash Mounting costs: As rising health costs hit Hispanic communities hardest, Central Mass. to incubate social health startups Patterson Cos. to incubate social health startups Patterson Cos.
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lawmakers are considering legislation to require licenses for non-medical home care Mass. health benefits agency running out of cash Mounting costs: As rising health costs hit Hispanic communities hardest, Central Mass. to incubate social health startups Patterson Cos. to incubate social health startups Patterson Cos.
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