Category: Modern Healthcare

House passes insurer, PBM anti-gag clause bills

The U.S. House of Representatives and Senate have both passed measures to halt the use of “gag clauses” by insurers and pharmacy benefit managers. President Donald Trump is expected to sign the bills soon.

Healthcare remains prime target for hackers

Healthcare data breaches have risen nearly every year from 2010 through 2017. Although physical theft used to be the data breach method of choice, hacking has become the most prevalent method.

Hospitals lobby Congress to kill CMS’ proposed site-neutral pay policy

The AHA is looking for lawmakers to join its fight against the CMS’ proposed site-neutral payment policy that would equalize Medicare rates for off-campus hospital facilities and independent physicians’ offices.

UnitedHealth warns hospitals over Envision contract

If UnitedHealth and Envision don’t reach a deal to extend their contract beyond Dec. 31, patients who visit emergency departments or certain other hospital departments staffed by Envision physicians could receive big out-of-network bills.

Drug prices going up despite Trump promise

An analysis of brand-name prescription drug prices shows it’s been business as usual for drugmakers, with far more price hikes than cuts. The number of increases slowed somewhat and were not quite as steep as in past years.

Congress keeps IMD provision in final opioids package

Congress finalized its deal on opioids legislation, including one longshot measure to free up Medicaid funds for inpatient addiction treatment in the package.

Gapstur to lead WellSpan Health next year

Roxanna Gapstur will succeed Dr. Kevin Mosser as the next president and CEO of WellSpan Health after Mosser retires on Jan. 1.

Ochsner promises upgrades for north Louisiana hospitals

Ochsner Health System will make improvements to the safety-net hospitals in north Louisiana under its new management deal to operate the facilities, the head of the healthcare company said Monday as the oversight contracts were officially signed.

Virginia looks to add Medicaid work requirements, premiums

As Virgina waits for the CMS to sign off on its pending Medicaid expansion request, it released a waiver seeking to impose work requirements and premiums on enrollees above the federal poverty level.

Labs lose challenge to multi-billion Medicare cut

A group of clinical laboratories lost their legal challenge to a multi-billion dollar Medicare reimbursement cut after a federal judge tossed the lawsuit on procedural grounds.