Author's posts
Inspectors return to DMC Detroit Receiving Hospital after failed review
State quality inspectors went to DMC Detroit Receiving Hospital on Wednesday to conduct a full survey of the hospital, one month after it was cited for failure to comply with Medicare conditions of participation in a limited survey on…
New York-Presbyterian, Empire BCBS reach contract
New York-Presbyterian and Empire Blue Cross and Blue Shield have agreed to a multiyear deal to keep the 10-hospital health system in Empire’s network. The accord ends a public fight that stoked fears that about 300,000 NYP patients would face higher…
Health homes for chronically ill kids spark lame-duck battle
Children’s hospitals want Congress to set up a provider-coordinated health home model for kids with complex conditions, setting up a turf battle with Medicaid insurers. But as the deadline tightens, a wide array of skeptics aren’t sure it’s worth…
Oscar Health expands network for small biz
Oscar Health will debut a product called Circle Plus for small businesses in 2019 that adds three major providers to its network — Northwell Health, Memorial Sloan Kettering and Westmed Medical Group.
Mental health coverage limits in self-insured plans hang on judge’s ruling
A federal judge is set to decide how much flexibility insurers that administer self-insured health plans have in limiting coverage for treatment of mental health and substance use disorders.
Providers are still hitting snags in revenue-cycle optimization
More than half of executives surveyed said that new EHR functions haven’t produced the expected gains in their organization’s revenue-cycle performance.
CMS threatens to revoke Vanderbilt’s Medicare participation after patient death
Vanderbilt University Medical Center would be terminated from the Medicare program next month if it doesn’t explain how it has corrected problems related to an incident where a patient died after receiving a large dose of the wrong medication.
2.65 million Atrium Health patients’ data potentially exposed
A hacker got into one of Atrium Health’s third party vendors, AccuDoc, in September 2018, potentially revealing personal data but not medical or financial information.
HHS details strategy to reduce burden of electronic health records
The agency released a draft strategy outlining how vendors, providers, and federal agencies can reduce the technology-related burden on clinicians, including by simplifying EHR reporting requirements.
Magellan Healthcare CEO Sam Srivastava to depart next month
Magellan Health announced early Wednesday that the CEO of its managed-care division, Sam Srivastava, is being “terminated without cause” on Dec. 28.
