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.
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Healthcare news this week …
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.
Pharmaceuticals take to Facebook, crowdsourced diagnostic tools inspire enthusiasm and skepticism, and the movie "What the Health" bends the truth.
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.
The new money from a Los Angeles-based asset management firm includes equity and debt financing and will be used to buy doctors' practices and open additional outpatient clinics.
For an institution accustomed to securing multimillion-dollar donations, Cleveland Clinic's latest fundraising effort has some relatively small targets: projects up to $10,000.
The CMS is canceling two mandatory cardiac pay models that were supposed to start next year and is scaling back a joint replacement model that has already been implemented by hospitals across the country.
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.
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 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.
Chinese billionaire Tianqiao Chen ended months of relative quiet at CHS by buying 9.8 million more shares of the company under an activist flag.
The long-term care industry has taken steps to create more patient-centered care plans that are resulting in less use of antipsychotics, but some doctors are worried the trend may lead to some patients not getting the drugs they need.
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.
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.
As executive compensation continues to rise, the biggest pay hikes are being doled out to executives who can lead hospitals and health systems through the industry's transformation into one that favors value over volume.
The Illinois Nurses Association, a union created by nurse practitioners, will be the first nurses' union recognized by the state's largest hospital network.
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.
Medical researchers are rethinking how patients are recruited for studies in part to overcome distrust of the medical community among some populations going back for decades.
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.
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.