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Supreme Court takes up hospital pension dispute

By Modern Healthcare  |  December 03, 2016

The Supreme Court last week decided to take up cases involving three not-for-profit hospital systems being sued for underfunding their employee pension plans.

The Week Ahead

Aetna, Humana antitrust trial set to begin

By Maria Castellucci  |  December 03, 2016

Aetna and Humana, two of the largest Medicare Advantage players, will fight accusations that if they merged, seniors and people with disabilities in more than 300 markets would be negatively affected.

Regional News

NYC public system kicks off project on CEO's last day

By Jonathan LaMantia, Crain's New York Business  |  December 03, 2016

On his last day as CEO of NYC Health & Hospitals, Dr. Ram Raju presided over the groundbreaking of a $28 million ambulatory-care center on Staten Island.

News

Trump's HHS nominees tee up Obamacare repeal effort

By Merrill Goozner  |  December 03, 2016

Donald Trump showed he's serious about repealing and replacing Obamacare and shift Medicaid to state block grants by choosing Georgia Rep. Tom Price, an orthopedic surgeon and active opponent of the Affordable Care Act, to run HHS and its $1 trillion budget.

New CMS chief touts 'personal responsibility'

By Virgil Dickson  |  December 03, 2016

Given her extensive experience reforming state Medicaid agencies, Seema Verma, the next CMS administrator, could lead a nationwide effort to make the poor on Medicaid pick up some of the costs of their insurance coverage.

Add-ons assure Cures Act easy lame-duck passage

By Shannon Muchmore  |  December 03, 2016

The 21st Century Cures Act last week received cheers from virtually every segment of the healthcare industry. The bill appears headed for quick Senate passage and signature into law by President Barack Obama.

Controversial changes coming to FDA

By Adam Rubenfire and Shannon Muchmore  |  December 03, 2016

The 21st Century Cures Act, which overwhelmingly passed the House last week, opens new avenues for companies to win quicker FDA approval. It continues to draw fire from safety advocates and worried payers, who foot the bill for expensive new therapies.

Advocates cheer mental health reforms in 21st Century Cures Act bill

By Harris Meyer  |  December 03, 2016

Congress took an important first step in improving the nation's struggling system of care for millions of Americans suffering from mental illness and drug addiction by including a sweeping package of mental healthcare and addiction treatment reforms as part of the 21st Century Cures Act.

Cover Story
Editorial

Editorial: The 21st Century Christmas Tree Act

By Merrill Goozner  |  December 03, 2016

On the surface, it looks like every healthcare special interest and their 1,400 lobbyists won an early Christmas present courtesy of the 21st Century Cures Act, which passed the House of Representatives by a whopping 392-26 margin last week and appears headed for Senate passage and enactment.

Guest Commentary
Best Practices
Q&A
By the Numbers

Risk corridor payments, ranked by issuer, 2016 (Full Excel Spreadsheet)

December 03, 2016

A complete list of the nation's 402 insurers making or receiving risk corridor payments, ranked by insurers owed the most for 2015 and 2014. Source: CMS, Modern Healthcare reporting. A shorter list of 30 companies was published in Modern Healthcare December 5, 2015. p. 38.

News Makers

Wolter retiring as longtime CEO at Billings Clinic

By Modern Healthcare  |  December 03, 2016

Wolter is retiring in January after 19 years leading the integrated, not-for-profit system. He took a planned medical leave of absence effective immediately to undergo minor medical procedures. Dr. Randall Gibb, the clinic's chief medical officer, was named interim CEO.

Data Points

Data Points: Take care this holiday season!

By Modern Healthcare  |  December 03, 2016

The holidays bring joy and good tidings, a chance to celebrate wtih faily and friends. But it's also a time when people encounter unexpected hazards and unusual stress.

Outliers
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