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Children’s hospitals bear largest brunt of Trump immigration crackdown

Children’s hospitals could see their revenue dip if increased anti-immigration sentiment from the Trump administration causes an exodus from Medicaid. Chronically ill children on Medicaid primarily go to these facilities for their hospital stays.

SSM Health church plan challenge heads toward settlement

SSM Health reached a settlement with pension plan participants legally challenging the non-for-profit corporation’s church plan status, according to court documents filed Monday in U.S. District Court in St. Louis.

HHS to move forward with long-delayed 340B ceiling price rule

HHS will reverse course and allow a ceiling price rule for the 340B program to kick in Jan.1 instead of the previously set July 1, 2019, launch date. The limits have been delayed five times over the years.

NLRB: Johns Hopkins tried to deter nurses from unionizing

The National Labor Relations Board has found evidence that Johns Hopkins Hospital tried to impede registered nurses’ efforts to form a union.

Audit: California paid $4B in questionable Medi-Cal claims

California paid at least $4 billion over four years in questionable Medi-Cal premiums and claims because it failed to follow up on eligibility discrepancies, according to an audit.

Anthem’s lower costs, growing Medicare rolls boost Q3 profit

National health insurer Anthem continued its streak of higher quarterly profit in the third quarter of 2018 as it grew Medicare Advantage membership, raised premiums to cover medical costs and spent less money on claims.

In Trump midterms, one GOP congressman bets re-election on healthcare

In an intense congressional race in the Chicago suburbs, hospital ally Rep. Peter Roskam (R-Ill.) is running on an anti-regulatory healthcare message. But in a referendum election about Trump, how will that play?

Athenahealth asks the OIG to permit a market for health data

The EHR vendor asked the agency to reform the Stark and Anti-Kickback laws to let providers pay for and receive payment for patients’ health data. That would boost interoperability, according to the company.

Bullish post-election Medicaid expansion outlook may not match end result

Although a new report predicts 2.7 million people in nine states could soon become eligible for Medicaid, expansion could look very different state by state.

Ochsner Health Network and Walmart to launch new health plan

Starting Jan. 1, the Ochsner Accountable Care Plan aims to provide more cost-effective, higher quality care care to around 6,600 Walmart and Sam’s Club associates.