Category: Healthcare Finance News

Racial, ethnic minorities have lower rates of Medicare preventive care visits

Lower use of the Medicare annual wellness visit by non-white patients is partially explained by income and education.

Montefiore Health scores $1.2 billion financing deal that will add $600 million to flagship hospital’s balance sheet

The financing package is a hybrid of taxable and nontaxable bonds that will, among other things, reimburse the system for more than $350 million in capital projects.

UnitedHealthcare is evaluating options after losing lawsuit over risk adjustment payments

UnitedHealthcare and Oxford Health Insurance contended the payments to New York were an unconstitutional taking of their property.

DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike force

Prosecutors for the 10 regional strike forces currently in operation have charged over 3,700 defendants in connection to more than $14 billion in false billings, DOJ says.

Mayo Clinic comes out on top as U.S. News and World Report unveils 2018-19 Best Hospitals

More than 1,100 hospitals were rated high performing in at least one common procedure or condition.

Moody’s: CMS proposed changes to Medicare’s outpatient prospective payment system could hurt hospitals

Site-neutral clinic payments, 340B drug program policy, adding procedures to covered list for ambulatory surgery centers, all hit hospital margins.

Hospital profits in Massachusetts shriveling due to financial pressure

North Shore Medical Center in Salem.
Hit especially hard were Massachusetts’ community hospitals, with median operating margins plunging to 0.9 percent.

Employers drive healthcare change through direct contracting, ACOs, combatting opioid epidemic

From direct contracting between employers and providers to campaigns aimed at reducing the stigma around mental health issues, employers are doing it for themselves.

Humana completes sale of long-term care insurance policy business KMG, at a loss of $790 million

Insurer is investing in at-home and hospice organizations and is focusing on senior primary care through Walgreens partnership.

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount

Some drug companies pay less than what they would otherwise owe by introducing a new drug formulation, HHS Secretary Alex Azar says.