Category: Healthcare Finance News

California insurance commissioner urges Department of Justice to block CVS Health, Aetna merger

The merger would increase market concentration in the PBM space and put other insurers at a competitive disadvantage, Dave Jones says.

Andy Anderson takes reins of Combined Medical Group featuring two large New Jersey health systems

Anderson will oversee innovation in a group that was formed from the practitioners of RWJBarnabas Health and the Rutgers Health Group.

After a break-up with Walmart, Castlight to layoff up to 75 employees

Anthem Engage Platform.
Castlight Health Chief Financial Officer Siobhan Nolan Mangini says the company is projected to lose $13 million due to Walmart’s decision.

Physician burnout is high but most doctors show outright unwillingness to seek help, survey finds

While majority of physicians see burnout in colleagues and half report it in themselves, most refuse to seek mental health help.

International med school grads get new respect with worsening physician shortage

As Baby Boomers age out of the workforce, hospitals are turning to U.S. citizen international medical school graduates to fill much-needed roles, and the trend will likely expand.

Hospices get 1.8 percent payment increase for 2019

Hospices that fail to meet quality reporting requirements receive a 2 percent reduction to their payments.

Increase in uncompensated hospital care could be one effect of short-term coverage rule

Uncompensated patient.
Consumers who rely on short-term plans for an extended period could face high medical bills when their care isn’t covered, AHIP says.

Why do patients often opt for pricier MRI tests? They don’t shop around

Only a small number of consumers use price transparency tools, and physicians have narrow referral networks, which essentially steers patients toward high-priced testing facilities.

CMS finalizes 2019 payment rules for skilled nursing facilities, inpatient rehabilitation and psychiatric facilities

New skilled nursing payment model is slated to save providers an estimated $2 billion over the next ten years, CMS says.

Healthcare spending near 20 percent of GDP, more than any other country

Price increases have been the biggest driver, with medical costs, prescription drug costs and physician and clinical services all playing a part.