Are insurers — now receiving hundreds of billions in public money — earning their Medicaid checks? When auditors, lawmakers and regulators bother to look, many conclude that Medicaid insurers fail to account for the dollars spent or deliver…
Category: Modern Healthcare
Q&A: Providence St. Joseph’s Venkat Bhamidipati on consumer-centric approach, tech
Venkat Bhamidipati, Providence St. Joseph’s CFO, brings decades of expertise from the tech world into healthcare at a time when rapid technological advances and shifts in consumer demand are transforming care delivery.
Proposed rule would expand Medicare Advantage telehealth benefits
The CMS released a proposed rule Friday that would implement parts of the 2018 budget deal, including allowing Medicare Advantage plans to offer government-funded telehealth services to seniors starting in 2020.
Judge urges insurers to drop short-term plan rule challenge
Opponents of the new short-term limited duration rule were dealt a setback in a federal court Friday as a U.S. district judge urged insurers suing the Trump administration to wait for proof it is harming the ACA markets.
LifePoint Health reports weak Q3 volumes ahead of sale to RCCH
LifePoint Health reported weak volumes but met key financial metrics as it prepares for its merger with fellow Brentwood, Tenn.-based rural hospital operator RCCH HealthCare Partners.
ACA silver plan premiums get a boost from Congress, Trump actions
Although federal officials said many Americans will pay lower premiums for the most popular Affordable Care Act exchange plans in 2019, those premiums could have been even lower if not for several Trump administration and congressional actions.
Trump’s drug model likely won’t lower prices, may delay access to care
Hospitals and physicians fear the Trump administration’s newly announced Medicare Part B drug pricing model could lead to lost revenue and delays in getting patients the medications they need.
Children’s National Health System and HSC Health Care System ink partnership
Children’s National Health System and HSC Health Care System signed a letter of intent to partner. The Washington, D.C.-based pediatric providers aim to finalize the partnership next year.
Pre-existing conditions drive state attorney general campaigns
Democratic state attorneys general hopefuls have leveraged their party’s national campaign strategy around pre-existing conditions coverage. They’re trying to beat Republican incumbents who are suing to end Obamacare.
UHS continues to walk back behavioral health rebound goal
Universal Health Services is backing down on its goal of achieving 5% behavioral health revenue growth by the end of the year as Medicaid managed care providers continue to clamp down on lengths of stay.
