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Florida Blues reports $471 million profit on ACA plans in 2015

By Bob Herman  |  June 18, 2016

The Affordable Care Act's exchanges have not been a bust for every health insurer. Florida's Blue Cross and Blue Shield affiliate made a profit of almost a half-billion dollars on the ACA's new individual plans last year.

Aetna forms joint venture with Texas Health Resources

By Bob Herman  |  June 04, 2016

National health insurer Aetna and Texas Health Resources, a 27-hospital not-for-profit system based in Arlington, have agreed to jointly own and operate a new health plan designed to steer patients to specific providers.

Georgia hospitals, doctors, plan new clinical data exchange

By Dave Barkholz  |  May 28, 2016

A physician-hospital organization affiliated with Navicent Health in Macon, Ga., is partnering with Stratus Healthcare to potentially offer information technology services to doctors and rural hospitals in southern Georgia, the groups announced last week.

Georgia lawmakers consider Medicaid expansion plans

By Virgil Dickson  |  May 21, 2016

To better provide healthcare to Georgia's surging population and as a way to balance the state's budget, conservative lawmakers are renewing temporary Medicaid payment increases and looking at expanding the program, a Republican state Senate leader said.

CMS grants Texas' Medicaid waiver extension

By Aurora Aguilar and Virgil Dickson  |  May 07, 2016

The CMS has awarded Texas a 15-month extension waiver that will help cover the unpaid bills of Medicaid-eligible and uninsured patients in the state.

Georgia governor OKs funds for anti-abortion centers

By Aurora Aguilar  |  April 30, 2016

Georgia Gov. Nathan Deal has signed legislation that allows the state to provide funds to centers that offer medical and other services to pregnant women while discouraging them from getting abortions.

Saving Medicaid expansion in Ark. required killing it first

Saving Medicaid expansion in Ark. required killing it first

By Harris Meyer  |  April 23, 2016

Arkansas' Republican-controlled Legislature, including Democratic members, voted last week to kill the state's successful Medicaid expansion. But it was just a tactic to get around a minority of conservative GOP senators who had enough votes to end the expanded program.

Texas seeks short-term Medicaid waiver

By Virgil Dickson  |  April 23, 2016

Warning that providers could lose billions of dollars in reimbursement, Texas is seeking an emergency 15-month waiver from the CMS that would extend financing for programs designed to cover the unpaid bills of Medicaid-eligible patients who haven’t signed up for the program.

Fla. gov signs law shielding patients from surprise bills

Fla. gov signs law shielding patients from surprise bills

By Harris Meyer  |  April 16, 2016

The movement to protect consumers from surprise medical bills won a major victory last week when Florida Republican Gov. Rick Scott signed a bipartisan bill that will exempt patients from having to pay balance bills from out-of-network providers in certain situations.

W.Va. hospitals agree to settle antitrust suit

By Lisa Schencker  |  April 16, 2016

St. Mary's Medical Center in Huntington, W.Va., and Charleston (W.Va.) Area Medical Center have agreed to settle an antitrust lawsuit accusing them of illegally coordinating marketing campaigns for various services in the areas where they compete.

FTC pauses its challenge of W. Va. hospital merger

FTC pauses its challenge of W. Va. hospital merger

By Lisa Schencker  |  April 02, 2016

The Federal Trade Commission will hold off on its challenge of a West Virginia hospital merger while it examines a new state law that aims to protect the deal from federal antitrust scrutiny.

W.Va. antitrust law could ease FTC scrutiny of hospital deal

W.Va. antitrust law could ease FTC scrutiny of hospital deal

By Lisa Schencker  |  March 26, 2016

The Federal Trade Commission must soon decide whether to continue challenging a merger between two West Virginia hospitals or drop the fight following the passage of a state law meant to shield such mergers from federal antitrust action.

Hospital deregulation effort fails in Va. Legislature

By Aurora Aguilar  |  March 12, 2016

Virginia state lawmakers have thwarted an effort to loosen government oversight of new or expanded healthcare facilities in the state. Virginia is one of 36 states that maintain a certificate-of-need program.

Arkansas voters boost odds to keep Medicaid expansion

Arkansas voters boost odds to keep Medicaid expansion

By Harris Meyer  |  March 05, 2016

Supporters of Arkansas' pioneering Medicaid expansion program were relieved by the outcome of last week's election on Super Tuesday, with most Republican state legislative primary contests resulting in victories for pro-expansion candidates.

Broward Health's struggles prompt Moody's downgrade

By Lisa Schencker  |  March 05, 2016

The embattled Broward Health system has received more bad news. Moody's Investors Service last month downgraded its bond rating, citing changing leadership, heightened scrutiny on the system and losses from a recent legal settlement.

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