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Late News

New guidance still murky for 340B drug pricing

By Modern Healthcare  |  August 29, 2015

Both supporters and critics view the release of the long-awaited 340B guidance as a much-needed step toward clarifying the ambiguity surrounding the discounted drug pricing program. Many providers feel that lack of clarity has fueled a perception that the program can be exploited.

FDA approves cholesterol drug Repatha, and other news

By Modern Healthcare  |  August 29, 2015

The Food and Drug Administration has approved Repatha, an injectable drug made by Amgen that lowers a person's “bad” cholesterol level. It can be used only for an estimated 5 million to 10 million patients who have certain inherited conditions or a history of serious heart ailments.

The Week Ahead

Texas brings telemedicine care to children at school

By Adam Rubenfire  |  August 29, 2015

Providers in the Lone Star State this week can start billing for telemedicine visits with Medicaid-enrolled children while they're in school. Lawmakers and providers say the move improves access for children whose parents can't miss work for doctor visits.

Recruiters for ACA face staffing, funding hurdles

By Shannon Muchmore  |  August 29, 2015

With the next Affordable Care Act open-enrollment period looming, recruiters are looking for their next targets but they've got fewer resources for reaching the remaining uninsured.

Regional News

Illinois governor vetoes addiction treatment funding

By Modern Healthcare  |  August 29, 2015

Illinois Gov. Bruce Rauner last week vetoed legislation passed nearly unanimously by the Legislature requiring state-funded coverage of medication-assisted treatment for opioid and alcohol addiction.

Banner aims to cut costs from UAHN as earnings lag

By Modern Healthcare  |  August 29, 2015

Banner Health is working to cut costs from its newly acquired University of Arizona Health Network as the academic medical center's losses weigh on the system's finances.

New York approves latest North Shore-LIJ deal

By Modern Healthcare  |  August 29, 2015

North Shore-Long Island Jewish Health System has won state approval to acquire Peconic Bay Medical Center, one of the latest targets of the system's ambitious push to expand its market and diversify.

News

Miles to go: New Orleans' mental health services still on the mend

By Andis Robeznieks  |  August 29, 2015

New Orleans' health officials have rebuilt a healthcare network in the city that some say is stronger today than before Katrina. But many say the city's mental health system hasn't experienced the same rebound as its medical care system.

Some Advantage plans lose members

By Bob Herman  |  August 29, 2015

Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.

Primary-care docs reaping the most from shared-savings ACOs

By Melanie Evans  |  August 29, 2015

Accountable care organizations in Medicare's Shared Savings Program get to decide for themselves how to distribute bonuses, and primary-care doctors appear to be benefiting the most, according to a review of disclosures by the participants.

Cover Story
Features
Editorial

Editorial: Hospital admission policy in Dismaland

By Merrill Goozner  |  August 29, 2015

Over the several years that the CMS and hospitals have been tussling over the reasons behind the steady rise in short-term observation stays, no one until now has suggested the increase represents a deliberate effort by hospitals to avoid Medicare's 30-day readmission penalties.

Guest Commentary
Letters
Best Practices

Insurer tells public how much it pays providers

By Bob Herman  |  August 29, 2015

In January, Blue Cross and Blue Shield of North Carolina launched an online site that allows the public to see how much it pays particular providers for certain services. An unexpected group pushed BCBS of North Carolina to expand its price transparency efforts—physicians.

Q&A

Hospitals will continue to be the delivery system's 'cornerstone'

August 29, 2015

Despite a trend toward outpatient care, Tenet Healthcare Corp. CEO Trevor Fetter says disease trends and demographics are pushing the demand for acute-care hospitals and that he sees hospitals as the cornerstone of the healthcare delivery system. He spoke with Modern Healthcare Editor Merrill...

By the Numbers

Biotechnology companies, 2015

August 29, 2015

A list of the 20 largest biotechnology companies ranked by 12-month revenue as of June 30, 2015. Source: BioPharm Insight. Published Aug. 31, 2015, p. 35.

News Makers

Garcia to lead prevention program at MD Anderson

By Modern Healthcare  |  August 29, 2015

Dr. Joxel Garcia, 53, has been named the inaugural executive director of the University of Texas MD Anderson Cancer Center's prevention and control platform, part of its “Moon Shots Program,” which aims to accelerate and improve cancer survival rates.

Data Points

Data Points for Aug. 31, 2015

By Modern Healthcare  |  August 29, 2015

Data Points for the week of Aug. 31, 2015, covered the following topics: Estimated cost for U.S. military to provide transition-related healthcare to transgender personnel, nursing home care, Medicare Advantage competition and physician diversity.

Outliers

Researchers track high-flying pathogens

By Modern Healthcare  |  August 29, 2015

The next time you use the bathroom on an airplane, you may be donating a first-class research sample to help monitor infectious disease in real time.

Discarded research chimps left in limbo

By Modern Healthcare  |  August 29, 2015

Eleven chimpanzees rushed out from the Liberian bush and descended from trees to the shore, making jubilant sounds to greet the speedboat bringing food.

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