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CMS targets opioid abuse, regulatory burden in Medicare Advantage plans
The CMS’ proposed changes to the Medicare Advantage program and Medicare prescription drug plans aim to reduce opioid abuse among seniors and dual-eligibles and lessen regulatory burdens for Advantage plans.
eClinicalWorks sued over patient record inaccuracies
The EHR vendor has been hit with a putative class-action suit alleging that misrepresentations of its software’s capabilities led to inaccuracies in patient records. eClinicalWorks has settled litigation over the misrepresentations.
Advisory Board finalizes deal with UnitedHealth’s Optum
The Advisory Board Co.’s shareholders and executives finalized a $2.58 billion deal with UnitedHealth Group’s Optum and a private equity firm, splitting the consulting group’s healthcare business from its education arm.
MASTERING MACRA: What you need to know about Medicare’s physician Quality Payment Program
MACRA’s approach to reimbursing physicians is here, but many doctors and administrators are still trying to get a handle on how it works. Read on for tips on how to deal with this major change to the Medicare payment system.
Data Points: Is it time to talk?
LHC Group, Almost Family merger highlights growth of post-acute market
The LHC Group and Almost Family merger highlights the growing importance providers are putting on post-acute care in a value-driven payment model.
Medicare Part B premiums, deductibles to remain flat in 2018
The CMS said premiums and deductibles for Medicare Part B beneficiaries will remain flat in 2018, but Medicare Part A premiums and deductibles will rise.
Health giant Sutter destroys evidence in crucial antitrust case over high prices
“‘Fingers crossed’ that I haven’t authorized something the FTC will hunt me down for,” a staffer wrote after destroying the documents. Sutter, a huge Northern California Health system with 24 hospitals, said it destroyed them by mistake.
Summa Health’s financial losses slow
The past three months, particularly October, have been profitable for Summa Health. This is relatively encouraging for the health system, which lost more than $33 million in operating income in the first half of the year.
HHS names three members to Health Information Technology Advisory Committee
The HHS appointees include one of the founders of the HL7 standards organization and a former president of the American Medical Association.
Biomedical startup aims to change post-op care
Megan Frost founded a company that has created nitric-oxide-infused bandages and wound dressings to greatly reduce the risk of infection, especially in patients post-surgery.
Safety & Quality
FDA to crack down on risky stem cell offerings
U.S. health authorities will crack down on doctors pushing stem cell procedures that pose the gravest risks to patients amid an effort to police a burgeoning medical field that previously has received little oversight.
Centene names Cynthia Brinkley as president and COO
Centene Corp. has named Cynthia Brinkley as president and COO. Brinkley, who is relative newcomer to the healthcare industry, was responsible for the integration of Health Net after Centene acquired it in 2016.
This week’s poll: Has Trump been good or bad for healthcare?
Share your opinion in the latest edition of our biweekly reader poll. Has Trump been good or bad for healthcare?