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    • Chart reviews boost Medicare Advantage payments by $6.7 billion, OIG finds
      Florida provider to pay $85k fine for not sharing timely patient records
      House passes Democrats' government drug-price negotiation bill
      MD Anderson executive confirmed as FDA commissioner
    • HealthPartners sheds more than 400 jobs across three rounds of cuts
      Kaiser Permanente seeks to address trauma in 25,000 schools by 2023
      KPC Group misses key deadline on Verity hospitals purchase
      Not-for-profit hospitals stabilized by Medicare pay raise, DSH cut delays
    • Michigan Blues makes deals with 7 health organizations aiming to bend curve on costs
      ACA exchange enrollment lags as deadline nears
      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
    • 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
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      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
    • Hospitals need more than HCAHPS to measure patient experience, report says
      Promising greater safety, a tiny widget creates chaos for tube feeders
      IHI releases principles for improving patient safety measures
      MRIs of dense breasts find more cancer but also false alarms
    • Kaiser Permanente names Gregory Adams CEO
      Google Health hires AliveCor's chief medical officer
      Trinity Health appoints new COO: Ben Carter
      Jim Allison playing the harmonica
      Documentary tells tale of Nobel winning researcher
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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
      Leah Binder, CEO of the Leapfrog Group, with her grandmother, Estelle Greifer.
      With no national reporting system, volume of medical errors is still unknown
      Man in hospital bed
      Minnesota looks to evolve its patient-safety reporting system
      Dr. Don Berwick
      Despite progress, we’re still waiting for a truly safer healthcare system
    • Randy Oostra, CEO of ProMedica
      HCR ManorCare deal laid foundation for ProMedica’s growth
      Advanced ICU Care
      Telemedicine helps rural hospitals meet intensivist shortage
      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
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      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
    • Health systems weigh return on investment as they ramp up tech
      VA dives into artificial intelligence R&D
      Home health to pare down therapy services, up telehealth offerings
      Amazon launches medical transcription service
    • 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
    • Chart reviews boost Medicare Advantage payments by $6.7 billion, OIG finds
      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
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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
      Fawn Lopez and Bernard Tyson
      In remembrance and gratitude for a life well-lived
    • Letters: Let’s keep humanity in discussions about patient safety
      Hospital with money
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 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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      Why CIOs went from back-office operators to mission-critical innovators
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MENU
Payment

CMS to repay hospitals for doctor's visits

Hospitals will get repaid for evaluation and management services delivered at outpatient clinics under the Trump administration's site-neutral payment policy.
Payment

Chart reviews boost Medicare Advantage payments by $6.7 billion, OIG finds

HHS' Office of Inspector General has raised concerns about Medicare Advantage insurers' use of medical chart reviews to obtain higher payments from the federal government.
Medicaid

South Carolina becomes first nonexpansion state with a Medicaid work requirement

South Carolina's work requirement will apply to Medicaid beneficiaries with incomes under 100% of the federal poverty level, or $12,240 for an individual up to $25,100 for a family of four, with some exemptions.
Providers

HealthPartners sheds more than 400 jobs across three rounds of cuts

Minnesota's HealthPartners has announced three rounds of cuts in recent months: its retail pharmacies, a home-care division and other areas.
Politics & Policy

House passes Democrats' government drug-price negotiation bill

The U.S. House of Representatives passed a government drug-price negotiation bill pushed by House Speaker Nancy Pelosi (D-Calif.) on a largely party-line vote.
Politics & Policy

House committee springs new surprise billing proposal, calls for delay

The new proposal complicates the legislative landscape for surprise billing legislation as Congress hurtles toward an end-of-year deadline to fund the government.
People

Community Health Systems' CFO to retire at end of year

For-profit Community Health Systems Chief Financial Officer Thomas Aaron will retire on Dec. 31. He has served in the position since May 2017 after first joining CHS in November 2016 as senior vice president of finance.
Information Technology

Florida provider to pay $85K fine for not sharing timely patient records

The fine marks the second settlement HHS' Office for Civil Rights has announced as part of its "Right of Access Initiative," an effort the agency launched earlier this year to ensure patients have access to their medical records as mandated under HIPAA.
Patient Care

More Americans are dying at home rather than in hospitals

For the first time since the early 1900s, more Americans are dying at home rather than in hospitals, a trend that reflects more hospice care and progress toward the kind of end that most people say they want.
Clinical

New drugs show rare promise against advanced breast cancer

Doctors on Wednesday reported unusually good results from tests of two experimental drugs in women with an aggressive form of breast cancer that had spread widely and resisted many previous treatments.
Politics & Policy

MD Anderson executive confirmed as FDA commissioner

The U.S. Senate confirmed Dr. Stephen Hahn, chief medical executive at the University of Texas MD Anderson Cancer Center, as the next Food and Drug Administration commissioner.
People

Kaiser Permanente names Gregory Adams CEO

Gregory Adams has replaced the late Bernard Tyson as chairman and CEO of the Oakland, Calif.-based integrated not-for-profit health system.
Insurance

Michigan Blues makes deals with seven health organizations aiming to bend cost curve

Seven health systems and physician organizations in Southeast Michigan have agreed to contract with Blue Cross and Blue Shield of Michigan in January under "value-based" contracts that share risk and could provide additional revenue if they lower costs and improve quality.
Safety & Quality

Hospitals need more than HCAHPS to measure patient experience, report says

Providers that took a comprehensive approach to assessing patient experience saw better clinical outcomes and brand recognition than those using CMS survey results, according to a new analysis.
Mergers & Acquisitions

Big Chicago hospital combo in the works

At least four hospitals—Advocate Trinity Hospital, Mercy Hospital & Medical Center, South Shore Hospital and St. Bernard Hospital—are in talks with the state to create a single system.
Accountable Care

NAACOS launches new direct contracting taskforce

The National Association of Accountable Care Organizations' taskforce is meant to help providers participate in the ACO-like direct contracting model.
Providers

Kaiser Permanente seeks to address trauma in 25,000 schools by 2023

Kaiser Permanente expanded its nationwide initiative to address the emotional health of 25,000 schools' staff and students over the next several years.
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
Cybersecurity

November-reported healthcare breaches exposed 570,000 patients' data

The two largest healthcare breaches reported in November—both of which compromised data on more than 100,000 patients each—involved email phishing scams.
Medicaid

Report: Medicaid recipients often use ER for dental issues

Many Virginians on Medicaid often go to emergency departments for dental issues that could have been prevented or treated at a dentist's office.
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.

People

Google Health hires AliveCor's chief medical officer

Google continues to build out its health team amid data privacy and antitrust concerns.
Providers

KPC Group misses key deadline on Verity hospitals purchase

KPC Group's planned purchase of four hospitals from bankrupt Verity Health is looking increasingly uncertain, especially after the company missed a court-appointed deadline to close the deal.
Insurance

ACA exchange enrollment lags as deadline nears

Roughly 3.9 million people enrolled in an Affordable Care Act exchange plan in the first six weeks of open enrollment, a decrease of 6% from the same time last year.
Safety & Quality

Promising greater safety, a tiny widget creates chaos for tube feeders

A standard connector for feeding tubes was supposed to improve patient safety by preventing accidental misconnections to equipment used for IVs or other purposes. But critics say the design instead could keep patients from real food and inadvertently creates a host of new risks.
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.
Operations

Health systems weigh return on investment as they ramp up tech

While training employees to use digital tools will be a top priority for providers in 2020, many still question the return on investment.
Legal

Supreme Court may side with insurers on risk-corridor payments

Several justices seemed sympathetic to insurers who say the federal government owes them more than $12 billion in risk-corridor payments under the ACA.
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.
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.

$4.6 billion: Estimated annual costs of physician burnout, attributed to turnover and reduced clinical hours
Physicians

Data Points: Physician burnout rates vary by specialty

Although some recent studies suggest that the rate of physician burnout is falling, the issue is still a major problem.

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.

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  • News
    • This Week's News
    • Providers
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    • People
    • Regional News
      • Midwest
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  • Data/Lists
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    • Modern Healthcare Metrics
  • Op-Ed
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    • Vital Signs Blog
    • From the Editor
  • Awards
    • Nominate
    • Award Programs
      • 100 Most Influential People
      • 50 Most Influential Clinical Executives
      • Best Places to Work in Healthcare
      • Health Care Hall of Fame
      • Healthcare Marketing Impact Awards
      • Top 25 Emerging Leaders
      • Top 25 Innovators
      • Top 25 Minority Leaders
      • Top 25 Women Leaders
    • Previous Award Programs
      • Excellence in Nursing Awards
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    • Other Award Programs
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      • Strategic Marketing Conference
    • Galas
      • Health Care Hall of Fame Gala
      • Top 25 Women Leaders Gala
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      • Top 25 Minority Leaders Gala (2020)
    • Webinars
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