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For-profit hospital leaders to Congress: 'No mas'

For-profit hospital leaders to Congress: 'No mas'

By Bob Herman  |  February 28, 2015

Leaders of investor-owned hospitals will gather in Washington this week to air their concerns about Medicare payment cuts and the U.S. Supreme Court case challenging the Affordable Care Act premium subsidies.

CMS dialysis clinic ratings won't help patients, critics say

CMS dialysis clinic ratings won't help patients, critics say

By Sabriya Rice  |  January 31, 2015

Critics say the CMS star-rating system for dialysis clinics is too complicated for the average consumer because of how ratings are assigned. And in areas with few choices of facilities, they may be meaningless since consumers have no easily accessible alternatives.

Wisconsin's Walker boasts of Medicaid program as he eyes presidential run

Wisconsin's Walker boasts of Medicaid program as he eyes presidential run

By Paul Demko  |  January 31, 2015

Wisconsin Gov. Scott Walker argued that his state's approach to Medicaid expansion is an innovative solution that could serve as a blueprint for other states. Under Wisconsin's program, individuals with incomes up to 100% of the federal poverty level are eligible for benefits. While he ended a...

M&A Watch: Hospitals seeking mergers with bigger players can be choosier

M&A Watch: Hospitals seeking mergers with bigger players can be choosier

By Beth Kutscher  |  January 24, 2015

Hospitals across the country have been rapidly consolidating for some time, but more of them are doing so now from a position of financial strength as they see increased volume and an improved payer mix under the Patient Protection and Affordable Care Act.

Gundersen Health CEO Thompson stepping down, and other news makers

Gundersen Health CEO Thompson stepping down, and other news makers

By Modern Healthcare  |  January 17, 2015

Dr. Jeff Thompson plans to step down this year as CEO of Gundersen Health System, La Crosse, Wis. Thompson, 62, has been with Gundersen for three decades, serving the past 14 years as CEO. He'll stay on in his role until the hospital system finds a new leader.

High court ACA case will drive 2015 healthcare debate

High court ACA case will drive 2015 healthcare debate

By Paul Demko  |  January 10, 2015

The specter of the U.S. Supreme Court striking down premium subsidies for millions of Americans will loom over the healthcare policy debate in Washington during the first half of 2015, and its fallout could dominate the second half of the year.

Payment system redesign will always require finesse, and other letters

By Modern Healthcare  |  January 10, 2015

Regarding the Jan. 5 editorial “Lessons from Vermont”, perhaps it is too easy to criticize from afar, when being on the inside of such an endeavor comes with all the political and social pressures that make some options untenable, forcing the choices that are less viable economically.

Insurers, providers clash over CMS' network adequacy decision

By Paul Demko  |  January 03, 2015

Provider and consumer groups are criticizing the CMS' decision to hold off on issuing tougher network adequacy rules for health plans, while insurers praised the agency for waiting until state insurance commissioners develop a model rule.

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