jfinison

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UnitedHealthcare wins court case over Medicare Advantage overpayment rule

Ruling throws out 2014 rule, leading to question of how CMS will determine whether it has overpaid an MA insurer.

EHR investments slowing down as hospitals cite high costs, study finds

The expense of software and implementation, as well as concerns about data security, are slowing growth in a market moving toward $33 billion globally.

Massachusetts ICU nurse staffing regulations did not improve patient mortality and complications

The findings were a surprise, as researchers thought they would find decreased complications and mortality rates for critically ill patients.

Montana health plan strikes victory over cost-sharing reduction payments

The insurer says it is owed $5 million in payments mandated under the Affordable Care Act.

Urgent care visits increase as emergency room visits fall, study finds

Visits to the emergency room to treat low-acuity conditions decreased by 36 percent; Use of non-emergency room centers increased by 140 percent.

Athenahealth may find Elliott Management its most promising suitor

Former CEO Jonathan Bush could receive $4.8 million if he helps with the sale of the cloud IT company, according to a report that shows Elliott partnering with Bain Capital.

Here are the biggest hospital construction projects that kicked off in August

Allegheny Health Network in Pittsburgh leads the pack with a $1 billion expansion.

Intermountain and six hospitals officially launch not-for-profit generic drug company, Civica Rx

New CEO Martin VanTrieste will receive no pay and the startup will initially focus on 14 drugs.

Hospital resources strained as Medicare reimbursement for MRI-compatible cardiac devices lags

The total spend increase for CRM devices is 8 percent, which translates to a $400 million estimated cost increase for hospitals.

CVS Health and Aetna or Amazon, Berkshire and JPMorgan: A timeline to disruption

Amazon, Aetna, CVS, Berkshire and JPMorgan logos.
Here’s a look at how we got to the cusp of innovative technologies and business models healthcare is facing right now.