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Behind Medicaid's move to pay psychiatric hospitals

By Melanie Evans  |  February 13, 2016

Medicaid, the nation's largest payer for behavioral health, is on the cusp of allowing stand-alone psychiatric hospitals into its provider networks for the first time. The change, expected to be finalized in April, should introduce new capacity and competition in the acute-care psychiatric market.

Late News

CMS: Overpayments going back six years must be reported

By Virgil Dickson  |  February 13, 2016

The CMS has finalized a controversial rule requiring providers to return Medicare overpayments. The rule, first proposed in 2012, alarmed many healthcare organizations when the CMS floated the idea that providers would be liable for returning Medicare overpayments going back as far as 10 years.

Clinton: Sanders' plan is a 'promise that can't be kept'

By Shannon Muchmore  |  February 13, 2016

Democratic presidential hopeful Hillary Clinton said last week that “the numbers don't add up” in her opponent Vermont Sen. Bernie Sanders' single-payer health plan, and it's “a promise that cannot be kept.”

The Week Ahead

South Carolina is next stop for presidential contenders

By Shannon Muchmore  |  February 13, 2016

The presidential campaigns are rolling on to South Carolina, where about 20% of adults are in fair or poor health and where the number of the uninsured is higher than the national rate. The state, notably, has not expanded Medicaid.

Regional News

Broward Health board votes to discuss FBI probe in private

By Lisa Schencker  |  February 13, 2016

The board of the embattled Broward Health public hospital system in South Florida plans to hold a private meeting to discuss issues surrounding an FBI investigation into the system, despite the objections of the board’s chairman.

Mercy inks virtual-care deal with UNC HealthCare

By Beth Kutscher  |  February 13, 2016

UNC HealthCare, based in Chapel Hill, N.C., is expanding its telemedicine program through a partnership with Mercy Virtual, the virtual care arm of the Chesterfield, Mo.-based Mercy system.

News

The opioid abuse epidemic: How healthcare helped create a crisis

By Steven Ross Johnson  |  February 13, 2016

The federal government, states, drug manufacturers and health providers are scrambling to find ways to confront a deadly drug epidemic that began in the doctor's office rather than the street, and which is affecting a diverse swath of America.

Funding innovation from the inside

By Beth Kutscher  |  February 13, 2016

Jumpstart Foundry, a Nashville-based venture fund, is hoping to harness the energy of the young, technology-focused entrepreneurs coming into healthcare and channel it into solving actual business problems of some of the country's largest healthcare companies.

Cover Story

The execs who are leading the transformation of our industry

By Bob Clarke, CEO and Sherrie Barch, President, Furst Group  |  February 13, 2016

We are always proud to help our friends at Modern Healthcare salute the best leaders in our industry as part of the Top 25 Minority Executives in Healthcare recognition program, but the honor seems even more pertinent this year and the need for diverse governance more urgent.

Features

Behind Medicaid's move to pay psychiatric hospitals

By Melanie Evans  |  February 13, 2016

Medicaid, the nation's largest payer for behavioral health, is on the cusp of allowing stand-alone psychiatric hospitals into its provider networks for the first time. The change, expected to be finalized in April, should introduce new capacity and competition in the acute-care psychiatric market.

Editorial

The iatrogenic roots of the opioid epidemic

By Merrill Goozner  |  February 13, 2016

The opioid abuse epidemic has become a major issue on the campaign trail because the number of people who die each year from opioid overdoses is approaching 30,000. But it's important to note that nearly two-thirds of those deaths are due to overdoses of prescription opioids, not heroin.

Guest Commentary
Best Practices
Q&A

'Academic medical centers have to be great community hospitals'

By Modern Healthcare  |  February 13, 2016

Yale-New Haven (Conn.) Health System, a $2 billion complex with 13,000 employees, is under financial pressure like most academic medical centers. CEO Marna Borgstrom discusses Yale's approach to value-based care, expansion and how medical training is changing.

By the Numbers

Largest behavioral health providers: 2016

February 13, 2016

A list of the nation's largest behavioral-health providers, ranked by net patient revenue based on 2014 CMS Hospital Cost Report data. The list is divided into two categories: 15 for-profit and not-for-profit facilities, and 10 government-run facilities. Source: American Hospital Directory.

News Makers
Data Points

Data Points for Feb. 15, 2016

By Modern Healthcare  |  February 13, 2016

Data Points for the week of Feb. 15, 2016, covered the following topics: Mental illness and substance abuse in the U.S., and their social costs.

Outliers

No romance? Your hospital stay could be longer

By Modern Healthcare  |  February 13, 2016

If you were alone for Valentine's Day, more than the health of your love life could be at risk. People who have never been married have longer hospital stays and are more likely to return for follow-up care within 30 days of a procedure, studies find.

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