Category: FiercePracticeManagement

Trump administration issues proposed rule to expand short-term insurance plans

A proposed rule issued by three federal agencies on Tuesday would expand limits for short-term health insurance plans from three months to 12 months. CMS’s Seema Verma dismissed concerns that the policy shift would destabilize the individual market by …

Under Trump, HHS rolls back policies aimed at protecting LGBT rights

Though President Donald Trump promised to support LGBT causes during the 2016 campaign, under his watch the Department of Health and Human Services had rolled back several initiatives aimed at protecting the rights of that population. New HHS Secretary…

Study: Community navigators can reduce the high cost of ‘superusers’ in hospital settings

“Superusers,” those costly patients who utilize high levels of hospital care, are a significant burden on the healthcare system. But a new study suggests that pairing them with community navigators can reduce their use of hospital services. Researchers in Tennessee found that the intervention reduced their healthcare encounters by 39%.

Patients lack information about imaging exams, study finds

Doctors can do a better job providing patients with information before they go for an imaging exam, a new study found. One in five patients shows up for an imaging exam without any information about the test they are about to undergo, according to the …

Most for-profit hospitals will benefit from U.S. tax overhaul, but 2 big-name providers stand to gain the most

Most for-profit hospitals stand to gain from the changes to the U.S. tax laws, according to a new Moody’s Investors Service report. But HCA Healthcare and Universal Health Service will be the biggest beneficiaries and could see their operating cash flows go up by 10% or more.

North Carolina attorney general seeks more details on Atrium Health-UNC Health Care merger 

North Carolina’s attorney general is asking Atrium Health and UNC Health Care to provide more information on their merger plans. AG Josh Stein said he intends to ensure that the planned merger doesn’t increase patient costs.

5 medical conditions that cost more than $15K per hospital stay

Heart valve disorders lead the list of the most expensive medical conditions with the highest average cost per inpatient stay, according to an analysis by Business Insider based on 2016 data from Healthcare Cost and Utilization Project. Heart valve dis…

Anthem alters controversial ER coverage policies

Seeking to address mounting concerns from providers and other stakeholders, Anthem has made changes to policies it previously rolled out that restrict coverage for emergency room visits. The insurer has implemented a series of “always pay” exceptions for certain circumstances, like when the patient received any kind of surgery or an MRI or CT scan.

VA head Shulkin to reimburse disputed European travel expenses, but Dems call for hearing over controversy

Veterans Affairs Secretary David Shulkin, M.D., says he will reimburse travel expenses that were the subject of an internal investigation into a trip he took to Europe this summer, but that may not put an end to the controversy. One lawmaker has called for Shulkin’s resignation, and four Democrats have requested a hearing about the trip.

Allscripts managed to buy Practice Fusion and McKesson for just $50M

In less than six months, Allscripts acquired two EHR platforms by Practice Fusion and McKesson for a grand total of $50 million by divesting a portion of McKesson’s business for 27% more than it paid for the entire health IT portfolio. Allscripts Presi…