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    • Plan members unlikely to benefit from Supreme Court risk corridor battle
      Connecticut tentatively resolves hospital spat over taxes
      Not-for-profit hospitals stabilized by Medicare pay raise, DSH cut delays
      Surprise billing tweaks fail to win provider support
    • Not-for-profit hospitals stabilized by Medicare pay raise, DSH cut delays
      November was healthcare's second strongest hiring month of 2019
      Primary-care provider ChenMed to enter five new markets
      Lacking specialist access drives health disparities
    • Plan members unlikely to benefit from Supreme Court risk corridor battle
      Joan Budden
      Q&A: Priority Health CEO eager to share best practices with Total Health Care
      Silver-loading, CSR elimination lowered premiums for some rural enrollees
      Centene to sell Illinois plan to CVS Health
    • Capitol Building with pills
      Week Ahead: House to vote on drug bill; SCOTUS hears risk-corridor case
      MedPAC thinks hospice payments are too high
      MedPAC says ambulatory surgical centers don't need a pay raise
      States focus on healthcare costs to address coverage problems
    • Analysts to CommonSpirit Health: Show us the savings
      Smallest hospitals saw biggest earnings gains last month
      Sutter Health postpones financial filing
      doctor helping patient stock image Sandoz
      Sponsored Content Provided By Sandoz
      As hospital executives look to reduce costs, biosimilars offer a compelling option
    • astronaut
      Astronauts developed bloodstream issues in space
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      Protecting and Maintaining Medical Devices
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      Sponsored Content Provided By Deloitte
      The Health System of the Future: How Digital Health Technology is Transforming Care
      EHR
      EHR vendors most in-use throughout Medicare incentive program
    • MRIs of dense breasts find more cancer but also false alarms
      Flu season takes off quickly in Deep South states
      Uber driver says South Carolina hospital dumped patient on him
      1 in 3 adults age 45 and older reported being lonely in a 2018 AARP survey
      Data Points: Loneliness and its impact on health
    • Trinity Health appoints new COO: Ben Carter
      Jim Allison playing the harmonica
      Documentary tells tale of Nobel winning researcher
      Seema Verma
      Seema Verma's bold initiatives land her in No. 1 Most Influential spot
      New CEO takes the helm at Lurie Children's Hospital of Chicago
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    • Chest x-ray from a patient with a vaping-related lung injury
      Vaping-related cases lead to care guidelines from Intermountain
      Arkansas Children’s was a founding partner in Solutions for Patient Safety.
      Children's hospitals collaborate rather than compete on patient safety
      Peer recovery specialists at St. Barnabas Medical Center work with nurse Brenna Zarra.
      Peer recovery helping patients with addiction seek treatment
      UNC Health Care trains staff to treat dementia patients
    • Linda Kenney
      Patient advocate recalls two medical errors that nearly killed her
      Betsy Lehman
      Recent safety scandals suggest healthcare leaders haven't learned lessons
      Doctors and nurse with patient
      20 years after 'To Err is Human,' hospital care quality measures are still of little use
      Dr. Christine Cassel
      To err is human. That’s still true 20 years later, but some solutions to the problem aren’t helping
    • Advanced ICU Care
      Telemedicine helps rural hospitals meet intensivist shortage
      Randy Oostra, CEO of ProMedica
      HCR ManorCare deal laid foundation for ProMedica’s growth
      Paging Dr. Robot: Artificial intelligence moves into care
      A child being screened for vision problems using a smartphone.
      App screens kids for eye problems before they can talk
  • Transformation
    • Patients
    • Operations
    • Care Delivery
    • Payment
    • ProMedica doubles down on social needs data analysis
      Amazon taps first pharmacy for Alexa Rx management
      Trump administration unveils new price transparency rules
      A child being screened for vision problems using a smartphone.
      App screens kids for eye problems before they can talk
    • VA dives into artificial intelligence R&D
      Home health to pare down therapy services, up telehealth offerings
      Amazon launches medical transcription service
      Hospitals' uncompensated care continues to rise
    • Chest x-ray from a patient with a vaping-related lung injury
      Vaping-related cases lead to care guidelines from Intermountain
      Advanced ICU Care
      Telemedicine helps rural hospitals meet intensivist shortage
      Peer recovery specialists at St. Barnabas Medical Center work with nurse Brenna Zarra.
      Peer recovery helping patients with addiction seek treatment
      UNC Health Care trains staff to treat dementia patients
    • Value-based pay still struggles to improve costs, quality
      Hospitals sue HHS over negotiated price disclosure rule
      Bundled payments get a boost in two states with employee programs
      CMS wants primary-care docs to take on financial risk
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    • Randy Oostra, CEO of ProMedica
      HCR ManorCare deal laid foundation for ProMedica’s growth
      Steve Strongwater
      How Atrius Health stayed independent by not shying away from risk
      Why moving the VA to a new EHR was a pivotal decision
      Why AdventHealth's rebrand was more than a name change
    • Terry Shaw
      A diverse and inclusive culture should empower others
      Paving the path to diversity and inclusion
      The next step in healthcare evolution
      Breaking Bias: A road map to boost women and minorities into healthcare leadership
    • Dr. Richard Snyder
      Outdated privacy laws hinder coordinated care, especially in the fight against addiction
      David Dill and Keith Myers
      Healthcare partnerships are a proven path to better care, healthier communities
      Health systems need to devote more resources to caring for the caregivers
      Chip Kahn and Alan Morgan
      Rural healthcare needs innovation, policy changes to survive
    • Letters: Let’s keep humanity in discussions about patient safety
      Hospital with money
      Letters: Let providers set their prices,
 and then publish them all
      Letters: Ambulatory surgery centers aren't getting a break on regulation
      Letters: Rising Medicaid spending isn't a windfall for providers
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      How blockchain could ease frustration with the payment process
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      Three steps to better data-sharing for payer and provider CIOs
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      Reduce total cost of care: 6 reasons why providers and payers should tackle the challenge together
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      Why CIOs went from back-office operators to mission-critical innovators
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MENU
Insurance

Plan members unlikely to benefit from Supreme Court risk corridor battle

There's a chance that health insurers owed $12 billion in ACA risk corridor funds won't receive a payout even if the U.S. Supreme Court rules in their favor. Plan members are unlikely to benefit in any scenario.
100 Most Influential People in Healthcare

100 Most Influential People in Healthcare - 2019

The 100 Most Influential People in Healthcare awards & recognition program honors individuals in healthcare who are deemed by their peers and the senior editors of Modern Healthcare to be the most influential individuals in the industry, in terms of leadership and impact. This program allows for readers to vote for their top choices and selected honorees will be published in Modern Healthcare's annual ranking.

For eligibility, key dates and requirements, click here for more details.

Past Winners
Seema Verma
People

Seema Verma's bold initiatives land her in No. 1 Most Influential spot

Despite facing legal setbacks, many credit Verma for aggressively articulating and pursuing a vision of strengthening market forces to reduce costs and improve quality.

Politics & Policy

Surprise billing tweaks fail to win provider support

A bipartisan group of lawmakers produced a deal on surprise billing legislation that is more provider-friendly than previous bills, but hospitals still oppose the deal.
Providers

Not-for-profit hospitals stabilized by Medicare pay raise, DSH cut delays

Operating cash flow will grow 2% to 3% in 2020, driven by the highest Medicare reimbursement rate increases in around a decade. As a result, Moody's Investors Service has changed its outlook for not-for-profit hospitals from negative to stable.
Cybersecurity

Banner Health agrees to $6 million settlement over 2016 breach

Banner Health has agreed to pay up to $6 million to victims of a massive data breach the Arizona health system experienced in 2016, according to court documents.
Chest x-ray from a patient with a vaping-related lung injury
Care Delivery

Vaping-related cases lead to care guidelines from Intermountain

Researchers at Intermountain Healthcare have developed a treatment guide to quickly identify and treat patients who develop respiratory injury from vaping.

Legal

Connecticut tentatively resolves hospital spat over taxes

Connecticut's governor and attorney general say they have reached a preliminary deal with the state's hospital association to resolve longstanding legal disagreement over hospital taxes.
Mergers & Acquisitions

UnitedHealth's OptumRx to acquire troubled specialty pharmacy and PBM

OptumRx's proposed acquisition of Diplomat Pharmacy would help it expand its specialty pharmacy and infusion services, the company said.
People

Trinity Health appoints new COO: Ben Carter

Trinity Health's Ben Carter, executive vice president and chief financial officer, will take over as its new chief operating officer Jan. 1. Trinity Health is one of the country's largest Catholic healthcare systems.
Legal

Former Outcome Health exec pleads guilty to fraud

Ashik Desai, who was in charge of business development at the healthcare advertising company, pleaded guilty to one count of wire fraud this morning before U.S. District Judge Thomas Durkin. Desai faces up to 10 years in prison as part of the plea agreement, prosecutors said.
Merrill Goozner
Opinion & Editorial

Another half-measure for preventing HIV/AIDS transmission

Public health officials believe the best approach for preventing new HIV infections is a once-a-day pill approved by the FDA in 2012. But the drug’s price puts it out of reach for those who need it most.

Roll of cash
Finance

Healthcare earnings reports from the third quarter of 2019

With the exception of births, Partners HealthCare reported sluggish inpatient volumes in the final quarter of its fiscal 2019.

Politics & Policy

Senate, House negotiators announce bipartisan surprise billing deal

Three lawmakers in the U.S. Senate and House of Representatives announced a bipartisan deal on legislation to address surprise billing, though many important details were still unclear.
Wright Lassiter III
Hospitals

Healthcare leaders urge full court press on social determinants of health

Healthcare leaders say the industry needs to make long-term commitments toward addressing social needs.

Patient Care

Flu season arrives early, driven by an unexpected virus

An early barrage of illness in the South has begun to spread more broadly, and there's a decent chance flu season could peak much earlier than normal, health officials say.

Capitol Building with pills
Government

Week Ahead: House to vote on drug bill; SCOTUS hears risk-corridor case

House Speaker Nancy Pelosi plans for a House vote on a bill aimed at curbing drug prices.

Hospice

MedPAC thinks hospice payments are too high

MedPAC members want to freeze rate increases for hospices. They also want to lower the aggregate cap on hospice payments because they think freestanding and for-profit hospices are making too much money off of Medicare.
Politics & Policy

Senate drug-pricing bill would halt DSH cuts for two years

Senate Finance Chair Chuck Grassley (R-Iowa) and ranking Democrat Ron Wyden of Oregon on Friday announced they would like to use their drug-pricing bill's savings to fund healthcare extenders and cancel two years of cuts to disproportionate share hospital payments.
Modern Healthcare CEO Power Panel
Politics & Policy

Hospital leaders increasingly open to negotiated price caps

Healthcare CEOs say they want to see action on strengthening the Affordable Care Act, controlling drug prices, and boosting funding for behavioral health treatment.

Operations

VA dives into artificial intelligence R&D

The VA's National Artificial Intelligence Institute will carry out AI research and development projects and collaborate with federal agencies on national AI strategy.

Providers

November was healthcare's second strongest hiring month of 2019

Healthcare's strong hiring in November contributed to an overall strong jobs report for the month.
Legal

Doctor among painkiller's top dispensers is convicted

A New York doctor described as one of the nation's top dispensers of a highly addictive painkiller was convicted of accepting over $300,000 in bribes disguised as speaker fees to write prescriptions.
Joan Budden
Insurance

Q&A: Priority Health CEO eager to share best practices with Total Health Care

Priority Health CEO Joan Budden discusses the pending merger with Total Health Care and the impact on Michigan Medicaid beneficiaries.

People

New CEO takes the helm at Lurie Children's Hospital of Chicago

Dr. Thomas Shanley takes over for Patrick Magoon, who announced his retirement in July after 22 years in the top spot.

Finance

Analysts to CommonSpirit Health: Show us the savings

During CommonSpirit Health's first-quarter 2020 investor call, analysts pressured executives to explain when the health system would make progress on its $2 billion savings goal, half of which is expected to come from merger synergies.
Payment

Value-based pay still struggles to improve costs, quality

Although the healthcare industry has made significant progress toward paying for value, those arrangements aren't moving the needle on cost and quality, a new report shows.

Dr. Richard Snyder
Opinion & Editorial

Outdated privacy laws hinder coordinated care, especially in the fight against addiction

Advances in health information systems help doctors and other healthcare professionals share medical information securely and often immediately. But that’s not the case when dealing with substance use disorder.

Providers

Primary-care provider ChenMed to enter five new markets

ChenMed announced that it plans to establish multiple senior medical centers in Cleveland, Cincinnati, Memphis, Orlando and St. Louis, opening a total of 20 new medical practices in the next year.
Randy Oostra, CEO of ProMedica
Hospital Systems

HCR ManorCare deal laid foundation for ProMedica’s growth

By purchasing post-acute provider HCR ManorCare in 2018, ProMedica was one of the first major health systems to underscore the importance of controlling the total cost of care across the continuum.

Mergers & Acquisitions

Quorum Health considering buyout offer from KKR

Quorum Health could be the latest healthcare provider to be purchased by private equity investors. The 24-hospital chain is considering an offer from KKR.

Operations

Amazon launches medical transcription service

Amazon said the new machine-learning tool is HIPAA-compliant and can transcribe spoken medical dictation into text.
Patient Care

Better neighborhoods boost children's health, study finds

Children whose families received a housing voucher to move to low-poverty neighborhoods were admitted to the hospital nearly 16% less, curbing annual inpatient spending by 24%.
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  • News
    • This Week's News
    • Providers
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    • Safety & Quality
    • People
    • Regional News
      • Midwest
      • Northeast
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    • Digital Edition
  • Special Features
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    • InDepth Special Reports
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  • Data/Lists
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  • Op-Ed
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  • Awards
    • Nominate
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      • Top 25 Emerging Leaders
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    • Previous Award Programs
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      • Strategic Marketing Conference
    • Galas
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