Modern Healthcare Staff Bob Herman Former Midwest Bureau Chief / Chicago See All Staff Page Recent Stories The 2016 Year in Review: Insurance Growing instability in the Affordable Care Act's insurance exchanges was the biggest storyline in health insurance for 2016. CMS finalizes 2018 exchange rules ahead of Trump administration The CMS has made a handful of final changes to the Affordable Care Act's health insurance marketplaces for 2018, just a little more than a month before Donald Trump takes over the White House and congressional Republicans move to repeal the healthcare reform law. Michael Rowan leaving Catholic Health Initiatives Michael Rowan, the COO of Catholic Health Initiatives and No. 2 executive behind CEO Kevin Lofton, will leave the health system at the end of this month "to explore a number of other opportunities in the healthcare industry." TeamHealth shareholders sue Blackstone alleging low-balled deal Shareholders of TeamHealth filed a class-action lawsuit Tuesday against the physician-staffing company, alleging it accepted an inferior takeover offer from the Blackstone Group when a much more lucrative bid had been on the table. University of Pennsylvania Health System to acquire New Jersey system The University of Pennsylvania Health System plans to extend its reach into New Jersey by acquiring Princeton HealthCare System, the two hospital groups said this week. Humana writes off $591 million in Affordable Care Act risk-corridor payments Humana will write off nearly all of the $591 million it is owed under the Affordable Care Act's risk-corridor program, saying the money likely won't be collected from the federal government. Humana writes off $591 million in ACA risk-corridor payments The move, which analysts say is long overdue considering the federal government owes more than $8 billion in risk-corridor payments, will slash Humana's year-end earnings per share by $2.45. HHS ordered to clear Medicare appeals backlog by 2021 The federal government has until the end of 2020 to wipe out the backlogged glut of Medicare claims appeals from hospitals, a federal judge ruled this week. Leadership shuffles at Medicare agencies Several top federal Medicare leaders have taken new roles just months before Donald Trump assumes the presidency. Wounded Care: Failure at one Indian Health Service hospital reveals troubled system More than a quarter of Native Americans nationwide are uninsured and face high barriers to care. Many say the Indian Health Service is failing them, and Congress is not moving quickly to address the problems of mismanagement, funding and poor quality care in IHS. Cures Act would give pass to lowest-quality Medicare Advantage plans If Congress passes the 21st Century Cures Act, the federal government would be barred from axing the worst performers in Medicare Advantage through 2018. FTC urges Tenn. to reject merger of Mountain States, Wellmont The Federal Trade Commission and a cadre of prominent health economists are urging Tennessee officials to reject a potential merger between Mountain States Health Alliance and Wellmont Health System. Opposition builds in Mountain States, Wellmont Health hospital merger The Federal Trade Commission and a cadre of prominent health economists are urging Tennessee officials to reject a potential merger between Mountain States Health Alliance and Wellmont Health System. With Wellcare deal, future looks bright for Medicare Advantage plans WellCare plans to acquire Universal American Corp., bolstering the company's investment in Medicare Advantage and accountable care organizations. After factoring in Universal American's debt and retirement of preferred shares, the deal is worth about $800 million. Dignity's Lloyd Dean resigns from Navigant's board Lloyd Dean, CEO of Dignity Health, is resigning from the board of directors at Navigant Consulting. Dean is looking to spend more time on Dignity's pending merger with Catholic Health Initiatives. Load More Sponsored Content
