Category: Healthcare Finance News

Hospitals illegally claimed $4 million in education funds, says OIG

The agency placed the bulk of the blame on the Centers for Medicare and Medicaid Services, and the agency has signaled intent to tighten oversight.

Medicaid expansion in five states rests on hotly contested gubernatorial elections

In Maine, which represents a sixth closely-watched race for governor, the question of expansion heads to court.

Hospital communication-and-resolution programs do not expand liability risk

Some medical centers are wary that willingly admitting errors could result in increased liability costs, which has been a barrier to adoption.

Tenet sees operating revenue drop but significant year-over-year progress in shrinking net losses

Tenet adjusts its outlook for 2018, now forecasting expected net income of $84 million to $144 million, the system says.

CVS expects deal with Aetna to close by Thanksgiving

CVS profits in Q3 decreased 5.8 percent to $2.4 billion, driven by a $64 million increase in acquisition-related transaction and integration costs.

Change, TIBCO use blockchain to build smart contract system for payers.

Using embedded codes in blockchain technology, claims process themselves.

Patient safety in hospitals still a concern; investment in nurses recommended

Between 2005 and 2016, only 21 percent of hospitals substantially improved their clinical work environments; most made no improvements.

Site-neutral payment rule sparks sharp rebuke from American Hospital Association and threat of legal action

The AHA said the policy exceeds the administration’s legal authority and, joined by the AAMC and member hospitals, intends to legally challenge it.

Providers help patients who can’t get to the polls cast their votes

From an informative interactive website to a "boots on the ground" approach in Philadelphia, providers want to make sure patients make their voices heard.

Emergency department visits by uninsured patients drop in Illinois after Medicaid expansion

The ACA expanded Medicaid coverage eligibility to adults with incomes up to 133 percent of the federal poverty level, but the law;s fate is uncertain