Category: Healthcare Finance News

Group Purchasing Organizations reduce supply costs by 13.1 percent

Supply chain activity by group purchasing organizations could affect close to 60 percent of hospital and nursing home non-labor spend, HSCA report says.

Private insurers in California pay more than double what Medicare does for similar services

The ratio of private insurance to Medicare payments is even higher than the 209 percent average at some hospitals.

Part D plans required to give drug pricing information through electronic prescribing or EHR

Pharmacy groups express frustration that CMS did not reform direct and indirect remuneration fees.

JPMorgan Chase to acquire payments technology company InstaMed

The move is unrelated to operations at Haven, the nonprofit healthcare business formed by JPMorgan Chase, Berkshire Hathaway and Amazon, according to JPMorgan Chase.

Screenings for social determinants of health need to be tailored to clinics, BU finds

The average health center only screened for 8 of the 16 domains in the pilot’s standardized screening.

New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs

Cost savings for pathway patients was estimated on average to be more than $1,500 per patient.

Quality standards framework can improve both clinical and financial performance in healthcare

A consistent framework is needed to ensure healthcare quality workforces are efficient, effective, and delivering on ROI.

Chinese nationals indicted for Anthem hack from 2014

Anthem last year was required pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the industry.

CMS cracks down on spread pricing by pharmacy benefit managers

The spread amount must be included in the calculation of medical loss ratios that managed Medicaid and CHIP plans use to set premium rates, CMS says.

Leapfrog report finds risk of death nearly doubles for patients in hospitals graded ‘D’ or ‘F’

An estimated 160,000 lives are lost annually from avoidable medical errors, an improvement over 2016 which saw 205,000 avoidable deaths.