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Northeast News

More than 400 doctors opt to leave Tufts network

November 05, 2016

About 425 doctors from the New Bedford, Mass.-based system will exit the New England Quality Care Alliance and create their own physician network called the Southcoast Health Network.

Vermont's all-payer ACO set to start in January

Vermont's all-payer ACO set to start in January

By Shannon Muchmore  |  October 29, 2016

The program is modeled after a similar one from Maryland that covers only hospitals. The Vermont ACO will cover Medicare, Medicaid and commercial payers, requiring those who participate to pay similar rates for all services.

SEIU urges New Jersey to force sale of five Prime hospitals

SEIU urges New Jersey to force sale of five Prime hospitals

By Maria Castellucci  |  September 24, 2016

The Service Employees International Union wants the attorney general of New Jersey to force a sale of five Prime Healthcare Services hospitals in response to a federal lawsuit against the hospital chain alleging it fraudulently billed Medicare.

ConnectiCare does about-face, will stay on state exchange

ConnectiCare does about-face, will stay on state exchange

By Erica Teichert  |  September 17, 2016

ConnectiCare said it discussed its planned departure with state regulators and its beneficiaries and ultimately decided to stay in the ACA market. The company had earlier said it would leave in the wake of a state court's Sept. 9 rejection of the insurer's attempt to force through a proposed 27% average premium hike.

New Jersey co-op insurer latest to close its doors

By Erica Teichert  |  September 17, 2016

Health Republic Insurance of New Jersey will be placed in rehabilitation, which will allow current customers to continue to use their health insurance policies through year-end. The state Banking and Insurance Department said the co-op will advise clients on their 2017 options.

Mylan school contracts for EpiPens under probe by NY AG

By Adam Rubenfire and Erica Teichert  |  September 10, 2016

Eric Schneiderman's office is investigating Mylan over “potentially anticompetitive terms” in its sales contracts with school systems in the state. Such terms were discovered in a preliminary review by the attorney general's office, according to a news release.

Overpayment settlement puts health systems on notice

Overpayment settlement puts health systems on notice

By Erica Teichert  |  August 27, 2016

Three hospitals within Mount Sinai Health System will pay nearly $3 million to settle a whistle-blower suit alleging they held onto Medicaid overpayments beyond the 60-day repayment window, marking one of the first settlements over an issue that could affect health systems across the country.

New Jersey hospitals settle property tax challenges

By Dave Barkholz  |  August 27, 2016

Trinitas Regional Medical Center in Elizabeth, N.J. has come to terms with the city to pay $250,000 per year from 2016 to 2019. Another hospital, JFK Medical Center in Edison, N.J., has agreed with the town to maintain its tax-exempt status, but will pay Edison a community service fee of $500,000 in 2016 and 2017.

Faith-based systems ask SCOTUS to take pension-plan cases

By Lisa Schencker  |  July 30, 2016

Advocate Health Care in Illinois and St. Peter's Healthcare System in New Jersey want the U.S. Supreme Court to weigh in on whether their pension plans should be exempt from certain federal protections for workers.

Philly researchers to test trauma-care conventions

By Elizabeth Whitman and Erica Teichert  |  July 16, 2016

Researchers in Philadelphia will challenge the assumption that a person who is shot or stabbed has a better chance of surviving if he receives more-intensive care before reaching the hospital.

HealthyCT crumbles under ACA risk-adjustment charge

By Erica Teichert  |  July 09, 2016

Connecticut's co-op insurer HealthyCT is winding down its business after it was hit with a massive Affordable Care Act risk-adjustment charge, as the state's insurance regulator said the plan was financially unstable because of the required payments.

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