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Top Stories

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

Medicaid's unmanaged managed care

By Bob Herman  |  April 30, 2016

A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.

Inside North America's first all-digital hospital

By Beth Kutscher  |  April 30, 2016

The digital experience at Humber River Hospital in northwest Toronto begins the moment patients arrive. The sleek, square building feels like a small airport, with each registration area designated with a letter. Before arriving, patients look online to find out their check-in zone.

Late News

Prime takes the backburner in Petaluma Valley deal talks

By Beth Kutscher  |  April 30, 2016

Petaluma Valley Hospital in California's Sonoma County suspended talks last week with Prime Healthcare Services while it attempts to solidify a deal with first-choice buyer St. Joseph Health.

Should False Claims Act go easier on providers?

By Lisa Schencker  |  April 30, 2016

A hearing held last week by a House judiciary subcommittee pitted a hospital CEO against an attorney on whether healthcare providers should be given greater protections against frivolous fraud lawsuits.

Community Health Systems spins off Quorum unit

By Modern Healthcare  |  April 30, 2016

Community Health Systems has completed its spinoff of 38 hospitals into a separate, independent company, Quorum Health Corp. Quorum begins trading to the general public on Monday under the symbol QHC.

The Week Ahead

Neurologists tackle concussions at annual meeting

By Adam Rubenfire  |  April 30, 2016

The effects of concussions have been studied and documented in a major motion picture, which has led to a more public conversation within the healthcare community. Now the American Association of Neurological Surgeons will spotlight the injury.

Regional News

Georgia governor OKs funds for anti-abortion centers

By Aurora Aguilar  |  April 30, 2016

Georgia Gov. Nathan Deal has signed legislation that allows the state to provide funds to centers that offer medical and other services to pregnant women while discouraging them from getting abortions.

NYC mayor unveils turnaround plan for city health system

By Jonathan LaMantia, Crain's New York Business  |  April 30, 2016

The turnaround plan released last week for New York's public hospital system raises a simple question, but one that won't be clear for several years: Will it work? One key watchdog is skeptical.

UCSF receives $185M for new neurosciences institute

By Michael Sandler  |  April 30, 2016

The University of California at San Francisco announced last week that it has received a $185 million donation from Sanford and Joan Weill to help build the UCSF Weill Institute for Neurosciences and to advance other projects.

News
Cover Story

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

Medicare's new quality program targets measurement fatigue

By Sabriya Rice  |  April 30, 2016

The CMS is preparing to cull the number of quality metrics that physicians have to report as it rolls three quality-incentive programs into what Congress conceived as a more harmonized framework.

How Medicare's new payment overhaul tries to change how docs use tech

By Adam Rubenfire  |  April 30, 2016

Medicare's new system for paying physicians will kill off the so-called “meaningful use” regime the government has used for the past five years to judge whether providers deserved to be rewarded for using electronic health records.

Features

Medicaid's unmanaged managed care

By Bob Herman  |  April 30, 2016

A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.

Inside North America's first all-digital hospital

By Beth Kutscher  |  April 30, 2016

The digital experience at Humber River Hospital in northwest Toronto begins the moment patients arrive. The sleek, square building feels like a small airport, with each registration area designated with a letter. Before arriving, patients look online to find out their check-in zone.

Editorial
Guest Commentary

Advance care planning vital to true patient-centered care

By Dr. Richard Lopez  |  April 30, 2016

A report issued by the Dartmouth Atlas Project this year found that as people age, many continue to receive care that does not align with their own preferences. This is especially true at the end stages of serious illnesses.

Letters

Common ground needed to serve most vulnerable populations, and other letters

By Modern Healthcare  |  April 30, 2016

Thank you for the April 25 cover story “Breaking the system,” drawing attention to how state budget battles are preventing numerous citizens from accessing services that are integral to their health and well-being. We've noticed the same trend in instances where healthcare overlaps with...

Innovations

Navigating healthcare's vast data troves via machine learning

By Beth Kutscher  |  April 30, 2016

Ayasdi, a tech company in Menlo Park, Calif., uses an applied math concept known as topological data analysis, which finds patterns in vast and complex data sets. The technology has applications in population health, drug discovery and revenue-cycle management.

Q&A

Q&A: 'Drug prices are the wrong target,' says PhRMA chief

By Modern Healthcare  |  April 30, 2016

A nimble inside-the-Beltway operative, Stephen Ubl took the reins of the Pharmaceutical Research and Manufacturers of America just as public outrage over high drug prices was hitting its peak. In an interview with Modern Healthcare Editor Merrill Goozner, Ubl shares his views on the drug-price...

By the Numbers

Average price paid for 162 common medical services by state: 2016

April 30, 2016

Forty-two states ranked by the average cost to insurers of 162 common medical services. Sources: Claims data from the Health Care Cost Institute and from Guroo.com, analyzed by David Newman, Stephen T. Parente, Eric Barrette and Kevin Kennedy, in "Prices for Common Medical Services Vary...

News Makers

Swick to lead association for nurse executives

By Modern Healthcare  |  April 30, 2016

Maureen Swick was named CEO of the American Hospital Association’s American Organization of Nurse Executives affiliate and senior VP of nursing at the AHA.

Data Points

Data Points for May 2, 2016

By Modern Healthcare  |  April 30, 2016

Data Points for the week of May 2, 2016, covered the following topics: Workplace safety for healthcare employees, injuries on the job, workers' compensation.

Outliers

New gin sold as a tonic for your skin

By Modern Healthcare  |  April 30, 2016

Since it came a few weeks past April Fools' Day, the announcement of an anti-aging gin appears to be on the level. The 80-proof concoction is the brainchild of Warner Leisure Hotels, a chain based in the United Kingdom. It touts Anti-aGin as the “alcoholic equivalent of a facial.”

Pride and prejudice and physicians

By Modern Healthcare  |  April 30, 2016

It is a truth universally acknowledged that young single doctors will catch the attention of a mother with five marriageable daughters. That's the premise behind the latest reworking of Jane Austen's most beloved work, Pride and Prejudice.

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