Category: Healthcare Finance News

UnitedHealthcare to start covering medical implant for sleep apnea

The device is a significant departure from traditional surgical treatments for sleep apnea.

The association between care management and outcomes in Medicare ACOs

As they have become more widespread, ACOs have employed a variety of care management and coordination strategies.

CMS proposes 1.3% pay increase for home health but is ending prepayment of services

While CMS says it is now allowing therapist assistants to perform services, Premier says the agency’s definition requires a skilled professional.

ACOs need a balance of PCPs and specialists to best reduce healthcare costs, study finds

A balance between primary care providers and specialists showed results, particularly among high-risk patients with chronic conditions.

CMS proposes new approach to monitoring protections for Medicaid beneficiaries

Current rule makes no sense as it applies only to fee-for-service and most Medicaid beneficiaries are now served through managed care, stakeholders tell CMS.

Clover Health’s new subsidiary will rely on members, machine learning to fuel drug development

Genome
Dubbed Clover Therapeutics, the unit’s first project will be a partnership with Genentech targeting ocular diseases among senior populations.

Aspirus buying Divine Savior in move that creates $1.4 billion health system

The nonprofit Aspirus will expand its network, which now includes almost 60 clinics, as the deal looks to close by the end of this year.

FCC advances, seeks public comment on $100M rural telehealth pilot

The program would provide an 85% discount on telehealth connectivity expenses for health organizations serving rural communities.

Finding unconventional sources of capital in the face of revenue pressures

There are a number of strategies health systems can employ to maximize their already-existing assets, from property to data.

President Trump executive order, new payment models, target kidney disease

CMS said it would encourage development of wearable or implantable artificial kidneys through cooperation between developers and the FDA.