Category: Modern Healthcare

Now is the time to update Stark law, HHS, providers tell Congress

Providers and HHS Deputy Secretary Eric Hargan urged Congress to loosen restrictions around Stark law. They say efforts to move doctors from fee-for-service to value based care models could be undermined if changes to the 30-year old law aren’t made.

$313M Medicare auditor contract goes to Noridian

Noridian Healthcare Solutions won a seven-year $313 million contract to continue work as a Medicare auditor in region that includes about 500 hospitals and 74,000 physicians. A competitor called the selection process unfair.

Planned Parenthood loses bid to stall Title X funding changes

A federal district judge rejected Planned Parenthood and the ACLU’s bid to freeze the Trump administration’s new funding criteria for the Title X family planning program, leaving the existing network of grantees in limbo.

4 takeaway questions as the Senate looks at healthcare costs

The Senate health panel held its second hearing on healthcare spending Tuesday, with lawmakers and witnesses trying to drill down on big questions that could lead to concrete health policy.

ECRI Institute to replace shuttered government clinical guidelines website

Not-for-profit organization ECRI Institute announced Tuesday plans to re-open the federal National Guidelines Clearinghouse website a day after the government shut it down due to budget cuts.

Emergency docs, Georgia medical association sue Anthem over ED policy

The American College of Emergency Physicians and the Medical Association of Georgia sued Anthem’s Georgia subsidiary in a bid to force the insurer to kill its controversial emergency department policy.

Federal appeals court rejects hospitals’ challenge to 340B cuts

The three-judge panel sided with the federal government and rejected the American Hospital Association’s attempt to stop Medicare Part B payment cuts to 340B hospitals.

FDA plans to ease OTC approvals for some prescription drugs

The FDA is evaluating ways to make sure patients don’t take an inappropriate over-the-counter drug. That could include adding information to the packaging label and offering online questionnaires to help people decide if a drug is right for them.

Spectrum Health promotes Tina Freese Decker to president and CEO

Spectrum Health plans to promote one of its executives, Tina Freese Decker, to replace its retiring president and CEO on Sept. 1. Richard Breon announced his retirement last October after 18 years.

UnitedHealth Group leads Q2 earnings season with higher revenue, profit

UnitedHealth Group kicked off the second quarter earnings season on Tuesday, reporting higher revenue and profit as its insurance arm grew Medicare Advantage and Medicaid membership.