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Late News

DeSalvo exits top health IT post to focus on Ebola

By Darius Tahir and Joseph Conn  |  October 25, 2014

Dr. Karen DeSalvo, national coordinator for health information technology at HHS, is leaving that position to become acting assistant secretary of health, effective immediately, the Office of the National Coordinator for Health Information Technology confirmed Thursday.

The Week Ahead

Medicaid managers seek ways to pay for costly specialty drugs

By Virgil Dickson  |  October 25, 2014

Medicaid managed-care plan operators are looking for a way to pay for high-priced specialty drugs such as Sovaldi and Harvoni, the $1,000-per-pill treatments approved by the Food and Drug Administration to treat hepatitis C.

ACEP meeting spotlights Ebola preparedness

By Andis Robeznieks  |  October 25, 2014

In October 2001, the American College of Emergency Physicians met in Chicago amid widespread anxiety over the state of emergency preparedness. The U.S. at the time was reeling from the 9/11 attacks and anthrax fears.

Regional News

Regional News/South: Ky. cardiologists settle false-claims charges

By Lisa Schencker  |  October 25, 2014

Two Kentucky cardiologists have agreed to pay $380,000 to settle allegations that they violated the False Claims Act by entering into bogus management agreements with an area hospital in exchange for referring their patients to that hospital.

News

New Ebola protocols will cost hospitals more

By Steven Ross Johnson  |  October 25, 2014

Many are welcoming the Centers for Disease Control and Prevention's tighter safety guidelines for treating Ebola patients. But meeting those standards may pose financial challenges for hospitals.

Medicaid expansion's fate may hang on governors' races

By Virgil Dickson  |  October 25, 2014

The outcome of gubernatorial elections in 15 states could have a pivotal impact on healthcare for millions of people in those states, with the fate of Medicaid expansion and the Obamacare exchanges hanging in the balance.

Clumsy Ebola response tests country's faith in health leaders

By Steven Ross Johnson  |  October 25, 2014

The American public's deep fears about Ebola and politicians' inflammatory rhetoric following the three U.S. cases in Dallas have prompted public health experts to think about how the country might respond to a more serious infectious disease pandemic, and what lessons can be learned from the...

DaVita pays $389 million in anti-kickback case

By Lisa Schencker  |  October 25, 2014

A $389 million civil settlement announced last week between \DaVita HealthCare Partners and the federal government over allegations of Medicare fraud is the latest example of the feds going after healthcare companies allegedly violating the anti-kickback statute.

CMS launches $840M transformation initiative

By Melanie Evans  |  October 25, 2014

The federal government is offering new funding to help healthcare providers that are less far along in the care transformation process catch up.

Plans without hospital coverage face criticism

By Bob Herman  |  October 25, 2014

Pressure is building for the Obama administration to disallow employer-based health plans that technically comply with the Patient Protection and Affordable Care Act but do not offer hospital coverage.

Cover Story
Features

Conn. exchange chief named CEO of HealthCare.gov

By Darius Tahir  |  October 25, 2014

Kevin Counihan, who headed Connecticut's successful state-based Obamacare exchange, has tough challenges ahead as the first CEO of HealthCare.gov, the federal insurance exchange that serves 36 states.

Pennsylvania Gov. Tom Corbett, Q3 reform winner

By Modern Healthcare  |  October 25, 2014

The Republican GOP governor, who's trailing in the polls in his re-election contest, received CMS approval Aug. 28 for his Medicaid expansion plan.

Marcus Merz, CEO of Fairview, Q3 reform loser

By Modern Healthcare  |  October 25, 2014

The not-for-profit insurer, half owned by Fairview Health Services, rocked Minnesota's already-struggling insurance exchange when it announced in September it would exit the exchange market for 2015.

Editorial

Casting light on a simpler pricing system

By Merrill Goozner  |  October 25, 2014

Remember the excitement surrounding Castlight Health's initial public offering? Last March, the San Francisco startup's stock price soared when investors bought into the idea that online price transparency would transform the healthcare marketplace.

Guest Commentary
Letters
Best Practices

CDC demonstrates new Ebola protocols for healthcare workers

By Maureen McKinney  |  October 25, 2014

Don't rush. Take your time. Be careful and deliberate. Federal officials repeated that guidance again and again last week as they reviewed their new, more-stringent Ebola-protection protocols before thousands of healthcare workers in New York City.

Q&A

AdvaMed's CEO on new payment models, repealing device tax

By Modern Healthcare  |  October 25, 2014

Stephen Ubl became president and CEO in 2005 of the Advanced Medical Technology Association, a 270-member group representing manufacturers of medical devices, diagnostic products and medical information systems. Modern Healthcare reporter Sabriya Rice recently spoke with Ubl about the potential...

By the Numbers

Medicaid Budgets by State 2014

October 25, 2014

A list of Medicaid budgets by state, each state ranked by average spending per enrollee, 2013. Sources:National Association of State Budget Officers and Kaiser Commission on Medicaid and the Uninsured, Medicaid Enrollment: June 2013 Data Snapshot. Published Oct. 27, 2014, p. 32.

News Makers
Data Points

Data Points for Oct. 27, 2014

By Modern Healthcare  |  October 25, 2014

Data Points for the week of Oct. 27, 2014, covered the following topics: latest healthcare stats on Ebola, health IT, CT usage and the uninsured.

Outliers
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