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Healthcare news this week …

New deal provides healthcare coverage for rural Nevada

By Associated Press  |  August 16, 2017

The deal with Centene Corp. in partnership with the Nevada-based Hometown Health will help ensure coverage is available to all Nevadans, after Anthem Blue Cross and Blue Shield pulled out of the state's healthcare exchange.

UnitedHealth CEO Hemsley stepping down

UnitedHealth CEO Hemsley stepping down

August 16, 2017

Longtime UnitedHealth CEO Stephen Hemsley will step down Sept. 1, and President David Wichmann will take over. The change marks a major leadership shakeup at the nation's largest health plan.

News from other sources

By Modern Healthcare  |  August 16, 2017

Pharmaceuticals take to Facebook, crowdsourced diagnostic tools inspire enthusiasm and skepticism, and the movie "What the Health" bends the truth.

Edward-Elmhurst Health eyes $50 million in cuts

By Kristen Schorsch  |  August 16, 2017

Naperville, Ill.-based Edward-Elmhurst Health is feeling the squeeze of climbing bad debt thanks to high-deductible health plans, soaring pharmaceutical costs and Medicare and Medicaid reimbursements that don't fully cover the price tag of patient care.

Jon Cotton appointed corporate president of Meridian

By Jay Greene  |  August 15, 2017

Jon Cotton has taken a step up the executive ranks with his promotion to corporate president of Meridian, a Detroit-based health plan that is Michigan's largest Medicaid HMO. The promotion is effective Sept. 4.

CMS overhauling Medicare fraud audit process

August 15, 2017

Facing a crushing caseload of appeals to denied Medicare claims, the CMS is launching a new audit process to reduce the number of providers that have their claims challenged.

Detroit's Straith Hospital expands into interventional pain center program

Detroit's Straith Hospital expands into interventional pain center program

By Jay Greene  |  August 15, 2017

Detroit's Straith Hospital for Special Surgery in Southfield is hoping a new pain center focused on procedures and physical therapy instead of medication management will generate 1,300 procedures and a projected $1.5 million in billable revenue its first year of operation, the hospital said.

Abortion restrictions could lead to higher ER use

August 15, 2017

Women who have to travel longer distances to receive abortions are more than twice as likely to end up getting follow-up care within their local emergency departments, according to a new study, which researchers say raises the cost of such services.

CBO: End of CSRs would add to federal deficit

CBO: End of CSRs would add to federal deficit

August 15, 2017

The CBO says that ending CSR payments to insurers would cost the federal government more than continuing to pay them, because insurers would hike premiums, and subsidies would then rise as well.

Court orders Advocate to recognize nurses union

By Nona Tepper  |  August 14, 2017

The Illinois Nurses Association, a union created by nurse practitioners, will be the first nurses' union recognized by the state's largest hospital network.

Hospital donations put N.H. Medicaid expansion in jeopardy

August 14, 2017

The CMS is warning states that using voluntary donations from hospitals to fund their share of Medicaid expansion could violate federal law. New Hampshire's expansion program could end next year because it relies on such donations.

Physician Compensation: 2017

Physician Compensation: 2017

August 14, 2017

A Special Feature on the nation's average physician compensation in a variety of specialties from 11 companies. Source: Modern Healthcare's 24th annual Physician Compensation Survey. Published July 24, 2017, p. 16-17.

Road gets rockier for hospital stocks

Road gets rockier for hospital stocks

August 14, 2017

Weak admissions and a deteriorating payer mix will mark the rest of 2017 after they conspired to ruin the second-quarter earnings season for hospital stocks.


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