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CMS targets nursing homes' overuse of antipsychotic drugs

The CMS will push nursing homes to reduce their use of antipsychotic medications by 25% by the end of 2015 and plans to incorporate a measure of the drugs' use to its star-rating system for consumers....

Anthem, LA providers creating HMO to compete with Kaiser

An unusual joint venture between Anthem Blue Cross and seven competing Los Angeles-area hospital systems to offer employers a low-priced HMO plan underscores the eagerness of insurers and providers to try novel and risky strategies to survive in the rapidly changing healthcare marketplace....

Back to the future in La La Land

A new joint venture linking California's second-largest insurer and seven major providers in a defined network that will compete directly with Kaiser Permanente throughout greater Tinseltown represents a major milepost in the nation's movement toward healthcare network competition and value-based......

ACOs, other delivery reforms shift job roles at hospitals

Hospitals' need to cut costs and coordinate care is driving health systems to give clinical and clerical workers greater responsibility for direct patient services, freeing up more-credentialed professionals for work only they are qualified to do....

Doc-owned device distributors targeted by feds

The Justice Department has filed a lawsuit alleging that three surgeons performed unnecessary spinal surgeries, a distribution company they invested in encouraged them to pressure hospitals to buy its medical implants, and the company and one of the surgeons denied the physician investments even as......

Medical-liability carriers see 2013 premium income drop as providers consolidate

The nation's largest medical-liability carriers are selling less insurance, and collecting less premium income, thanks to consolidation among healthcare providers, more self-insurance, a highly competitive market and a decline in claims frequency, experts said....

Video | WellPoint CEO Joseph Swedish on Anthem's Vivity

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News
Medical-liability carriers see 2013 premium income drop as providers consolidate
By Andis Robeznieks and Michael Sandler | September 19, 2014 | Basic Web Basic Web Subscription Details
The nation's largest medical-liability carriers are selling less insurance, and collecting less premium income, thanks to consolidation among healthcare providers, more self-insurance, a highly...
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News
Cerner gets FTC's OK to buy Siemens Health
By Bob Herman | September 19, 2014 | Basic Web Basic Web Subscription Details
Health information technology giant Cerner Corp. received clearance from the Federal Trade Commission late Thursday to move ahead with its $1.3 billion acquisition of Siemens Health Services.
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News
Late update in EHR incentive program system could mean penalties for some
By Joseph Conn | September 19, 2014 | Basic Web Basic Web Subscription Details
Through no fault of their own, a subset of physicians and other health professionals participating in the federal electronic health-record incentive payment program may get hit with Medicare...
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News
Reform Update: Exit of PreferredOne from MNsure raises practical and political questions
By Paul Demko | September 19, 2014 | Basic Web Basic Web Subscription Details
PreferredOne was one of the biggest surprises of Obamacare's first open-enrollment period. The plan captured 59% of enrollments through Minnesota's exchange. But on Tuesday, PreferredOne delivered a...
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News
As a proton therapy center closes, some see it as a sign
By Jaimy Lee | September 18, 2014 | Basic Web Basic Web Subscription Details
The Indiana University Proton Therapy Center will close in December, marking the first time a proton-beam therapy center in the U.S. has shut its doors since the rapid proliferation of the costly...
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News
Reform Update: Will Anthem's Vivity gain traction among large employers?
By Bob Herman | September 18, 2014 | Basic Web Basic Web Subscription Details
Anthem Blue Cross' new health plan partnership with seven hospital systems has grabbed the attention of healthcare stakeholders nationally, but questions loom about the ability of the HMO-like plan...
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News
Security assessment planned for HealthCare.gov, Tavenner vows
By Virgil Dickson | September 18, 2014 | Basic Web Basic Web Subscription Details
The CMS plans to perform, by the end of September, a comprehensive security assessment of Healthcare.gov to determine if any site vulnerabilities exist, CMS Administrator Marilyn Tavenner said at a...
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Vital Signs
More tech support, trust needed to boost wellness plan participation, survey shows
By Joseph Conn | September 18, 2014
Many employer-sponsored wellness programs need some healing hands themselves, particularly when it comes to embracing home and mobile health technology. That's especially true when employees still...
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Information
Americans endure unwanted care near death: IOM study
By Associated Press | September 18, 2014
Americans suffer needless discomfort and undergo unwanted and costly care as they die, in part because of a medical system ruled by "perverse incentives" for aggressive care and not enough...
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News
8% of patients stop taking Sovaldi, CVS study finds
By Jaimy Lee | September 17, 2014 | Basic Web Basic Web Subscription Details
About 8% of the patients who started taking Sovaldi to treat hepatitis C discontinued their treatment regimen prior to its conclusion, according to an analysis released Wednesday by CVS Health. The...
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News
Reform Update: Anthem's Vivity alliance with seven L.A. systems aims at Kaiser
By Melanie Evans | September 17, 2014 | Basic Web Basic Web Subscription Details
News of an unusual joint venture between Anthem Blue Cross and seven Los Angeles health systems signaled new competition for Kaiser Permanente, the integrated health system with one of California's...
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News
New Anthem network makes business case for HMO-ACO hybrid
By Bob Herman | September 17, 2014 | Basic Web Basic Web Subscription Details
Anthem Blue Cross Vivity, the newly announced joint venture among WellPoint subsidiary Anthem and seven prominent Southern California providers, will blend both the past and future as its planned...
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