Government alleged HMA unlawfully boosted inpatient admissions, submitted inflated claims to government payers and paid physician kickbacks for referrals.
Category: Healthcare Finance News
Hospitals in one rural system have negative operating margins of $100 million a year, CEO says
Two areas for financial hope are being paid for telehealth and better data sharing in a rule on health information blocking.
Healthcare employee misuse and theft of pills totaled $164 million this year
Hospitals and health systems should adopt better strategies to ensure physicians and nurses don’t shift pills to the black market.
CMS admits errors in MIPS payment calculations after ‘target review’ of payment factors
In addition to those whose scores were directly impacted, some clinicians will see small changes in their payment adjustment after reapplication of budget neutrality, CMS said.
Operating margins stunted for nonprofit hospitals, says Fitch
Labor and wage pressures for experienced staff will likely continue, while the shift to at-risk contracting will be an exacerbating factor.
Homeland Security proposed rule would lead to legal immigrants foregoing healthcare
Rule threatens the stability of hospitals which will face more uncompensated care costs, says America’s Essential Hospitals.
Independent physician organization opposes CVS and Aetna merger
Patients would be steered away from their physicians, Association of American Physicians and Surgeons said in letter to AG Jeff Sessions.
Artificial intelligence gaining trust for cancer diagnosis and treatment, study finds
While a majority of patients say they would consider the technologies to diagnose cancer and recommend treatment, they still fear a catastrophic impact on finances.
Maine health system rebranding for era of consumerism
Eastern Maine Healthcare Systems is the latest hospital to rename itself to keep pace with changes, digital health and otherwise, reshaping the industry.
UnitedHealthcare issues warning to hospitals about out-of-network coverage for ER physicians
UnitedHealth plans to update its provider directories to show its beneficiaries those hospitals that use non-participating hospital-based physicians
