Susan Morse

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Centene settles Medicaid fraud claims with Texas for $165 million

Centene has settled with Texas for $165 million to resolve claims of Medicaid fraud by the Texas attorney general.
Centene made no admission of liability, and maintained that its business practices were lawful. 

AHA and AMA withdraw lawsuit over enactment of No Surprises Act

The AHA and American Medical Association have moved to dismiss their challenge to the federal government’s September 2021 interim final rule governing the No Surprises Act’s independent dispute resolution process.
 

HIMSSCast: Higher acuity patients are creating revenue challenges

The American Hospital Association in August reported that higher-acuity patients are causing unsustainable financial challenges for hospitals and health systems due to higher costs for labor, drug and supplies.

UnitedHealth and Change win court case to merge

UnitedHealth Group and Change Healthcare have won their case to merge.
Federal Judge Carl Nichols on Monday denied the Department of Justice’s request to block the $13 billion merger, with the DOJ saying it is evaluating its next steps.

Providence announces $712 million expansion in southern California 

Providence is investing $712 million in southern Orange County in California to build two new multi-specialty medical centers and a new patient care tower at Providence Mission Hospital.
 

Private equity investments in healthcare are increasing, AHIP says

AHIP has released a brief on private equity investments in healthcare, saying the need of these firms to achieve high returns, including through the use of provider consolidation, directly conflicts with the goal of lowering costs.

Half of hospitals will show negative margins in 2022

The COVID-19 pandemic continues to financially challenge hospitals and health systems – not just in the continued number of hospitalizations, but in added expenses for labor and supplies.
“COVID-19 continues,” Rick Pollack, AHA president and CEO, said …

Decision on Advocate Aurora and Atrium merger delayed

The Illinois Health Facilities & Services Review Board yesterday voted 3-2 to deny a change of ownership request for the Advocate Aurora Health and Atrium Health merger. The board later voted to reconsider the vote. It next meets on December 13.

Data did not drive acquisition of Change, UnitedHealth says

Unsealed brief  in the Department of Justice’s case against the UnitedHealth Group and Change Healthcare merger solidify arguments on both sides in the antitrust case.

CVS Health advances healthcare strategy in acquiring Signify Health for $8 billion

CVS Health has acquired Signify Health, besting Amazon, UnitedHealth Group and others, in acquiring the home health platform.