jfinison

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Texas court case tests whether Affordable Care Act can survive without individual mandate

Judge to decide whether loss of individual mandate is tied to keeping essential benefits for those with pre-existing conditions.

About 1 in 5 hospitals mark up drug prices at least 700 percent, study finds

The analysis, done for PhRMA, found that 320 hospitals marked up some medicine prices more than 1,000 percent.

Department of Justice close to approving CVS Health/Aetna, Cigna/Express Scripts merger deals

The two transactions could see formal antitrust approval within a few weeks, a report said.

Outsourcing revenue cycle services has its perks, but also pitfalls, analysis shows

Analysis found that while hospitals that outsource that revenue cycle collect more patient balance payments, getting the money takes much longer.

Healthcare consolidation in California leading to higher prices, finds new Health Affairs research

The percentage of physician practices now owned by hospitals increased from 26 percent in 2010 to 38 percent in 2016.

Atul Gawande picks Jack Stoddard as COO of Amazon’s new healthcare company

Jack Stoddard
Stoddard’s experience in digital health technology is being added to company formed by Amazon, Berkshire Hathaway, JPMorgan Chase.

Lawmakers want more information from MedPAC on hospital consolidations’ effect on Medicare, beneficiaries

Bipartisan concern over Medicare policies driving hospital consolidation has been long-standing, but conflicting evidence has clouded the waters, lawmakers said.

Maine hospitals violated federal law by turning away patients with mental health distress

Under the Emergency Medical Treatment and Active Labor Act, hospitals participating in Medicare are required to screen and stabilize emergency room patients.

San Diego preventative healthcare collaborative yields more than $86 million in savings for hospitals, Health Affairs says

Be There San Diego focuses on reducing preventable morbidity and hospitalizations for heart attacks through clinical and community action efforts.

Next Generation ACO risk model generates savings, CMS says

Agency evaluation of Next Gen sets stage for ACOs qualify as Advanced APM under MACRA and getting incentive payments.