CVS, BCBS venture funds raise $118M for telehealth addiction platformOctober 21, 2021 03:14:32 PM
Workit Health plans to use the additional money to expand into new markets and boost its primary and psychiatric care products and services.
Return of high-acuity surgeries helped boost Tenet Healthcare's Q3October 21, 2021 03:05:33 PM
Tenet Healthcare generated about $450 million in net income to shareholders in the quarter ended Sept. 30, up from an almost $200 million net loss in the prior-year period.
Oak Street Health buys virtual specialty-care firm RubiconMD for $130MOctober 21, 2021 02:37:04 PM
Oak Street Health plans to integrate RubiconMD's services so that its clinics can provide virtual specialty consults, manage patient care and streamline referrals.
Tennessee claimed more than $1B in improper uncompensated care, audit findsOctober 21, 2021 02:24:22 PM
Tennessee claimed $2 billion in certified public expenditures from 2009 to 2014. Only $909.4 million was allowable and supported, federal auditors said.
UnitedHealth to repay providers shortchanged for COVID vaccine administrationOctober 21, 2021 01:55:55 PM
Federal investigators confirmed the nation's largest insurer paid "millions" of providers 40% less than the Medicare rate for inoculating patients.
Amita Health, Chicago's biggest health system, is splitting upOctober 21, 2021 01:50:58 PM
Amita Health was formed in 2015 as a joint venture of national chains Ascension and AdventHealth. Now the organizations are divvying up the chain’s 19 hospitals.
Expert panel takes up complicated COVID-19 booster questionsOctober 21, 2021 12:24:31 PM
The advisers to the CDC are slated to discuss who should get extra doses of the Moderna or Johnson & Johnson vaccines — and the bigger question of getting a different brand for the booster than people's original vaccination.
What big tech doesn't have when it comes to healthcareOctober 21, 2021 12:13:44 PM
Transformation is long overdue in healthcare, which is one of the last bastions to fully embrace the digital age. But at the end of the day, healthcare comes down to people serving other people.
Iowa's privatized Medicaid illegally denies careOctober 21, 2021 11:55:26 AM
Auditor Rob Sand released a report from his investigation that examined cases from 2013 through 2019. He said his investigators found a massive increase in illegal denials of care by managed care organizations under privatized Medicaid.
Princeton hospital joining West Virginia University Health SystemOctober 21, 2021 11:18:00 AM
Princeton Community Hospital is joining the West Virginia University Health System.
UNC Hospitals' patients at risk for identity theftOctober 21, 2021 11:15:09 AM
A former employee at UNC Hospitals was using patients' demographic and financial information to illegally obtain goods and services.
Worn-out nurses stressing hospital budgetsOctober 21, 2021 09:03:59 AM
While some hospitals have offered retention bonuses or increased pay for permanent staff members, nurses say it doesn't compare to the financial bonanza of traveling.
The Yelp of COVID: Crowdsourcing pandemic safety tips for consumersOctober 21, 2021 08:56:58 AM
The lack of government action in some communities is forcing everyday people to fill the void, according to Imran Ahmed, CEO of the Center for Countering Digital Hate, an international not-for-profit organization designed to disrupt online misinformation.
Beyond the Byline: CommonSpirit Health charts path forward without Lloyd DeanOctober 21, 2021 05:00:00 AM
Modern Healthcare Senior Hospital Operations Reporter Alex Kacik and Finance Reporter Tara Bannow talk about Lloyd Dean's retirement and CommonSpirit Health.
White House details plans to vaccinate 28M children age 5-11October 20, 2021 07:04:11 PM
Within hours of formal approval, expected in November, millions of doses will begin going out to providers across the country, along with the smaller needles needed for injecting young children.
Federal appeals court won't stop health worker COVID mandateOctober 20, 2021 06:59:37 PM
Most healthcare workers have complied but several dozen have opted to quit over the mandate, and Central Maine Medical Center in Lewiston already curtailed some admissions because of a shortage of nurses.
‘Proof will be in the execution': CMS plan focuses on accountable careOctober 20, 2021 05:52:49 PM
The agency plans for every Medicare beneficiary and most Medicaid beneficiaries to be in an accountable care relationship by 2030.
FDA OKs mixing COVID vaccines and backs boosters for Moderna and Johnson & Johnson shotsOctober 20, 2021 05:25:54 PM
U.S. regulators said anyone eligible for a booster shot can get a brand different from the one they received initially.
M&A activity for in-home care providers inches upward in third quarterOctober 20, 2021 04:35:14 PM
The number of mergers and acquisitions among home health, hospice and home care companies during the third quarter was the second highest it's been in three years.
Feds: UnitedHealthcare pocketed $3.7 billion in questionable Medicare Advantage paymentsOctober 20, 2021 04:20:03 PM
Forty percent of UnitedHealthcare's claims come from care patients may not have needed or received.
Former CMMI director joins home & community-based services provider CareBridgeOctober 20, 2021 03:27:30 PM
Former CMMI Director Brad Smith has joined home and community-based services company CareBridge as executive chairman.
Hospitals urge CMS to move ahead with Trump-era prior authorization ruleOctober 20, 2021 03:26:59 PM
The rule, which was proposed by the Trump administration, would shorten the amount of time some payers have to make decisions on prior authorization requests.
Senators: American Rescue Plan's $8.5B rural fund should go to rural providers onlyOctober 20, 2021 03:03:26 PM
A group of senators is taking issue with how the Biden administration is allocating the $8.5 billion rural fund, some of which is going to large providers.
Breaking down BCBSA's executive hiring spreeOctober 20, 2021 01:32:28 PM
With these two new hires, Blue Cross Blue Shield Association has added six new executives since CEO Kim Keck took the helm of the 35-health plan organization in January.
‘They treat me like I’m old and stupid’: Seniors decry health providers’ age biasOctober 20, 2021 01:01:30 PM
Ageism in healthcare settings, which can result in inappropriate or dangerous treatment, is getting new attention during the COVID pandemic, which has killed more than half a million Americans age 65 and older.