WASHINGTON, Feb. 25, 2020 /PRNewswire/ — The Leukemia & Lymphoma Society (LLS) released today new research which shows the significant financial costs facing consumers treated for five serious conditions while enrolled in short-term health plans: lymphoma, heart attack, lung cancer, diabetes and mental health hospitalizations. [Read more…]
Hospitals and Health Systems News
Hospitals and health systems are where most health care dollars are spent, and the relationship between providers and health plans determines which facilities are in network and what patients pay. A health system is an organization that owns or operates multiple hospitals, physician practices, clinics and outpatient centers under common management, such as nonprofit systems like UnityPoint Health and academic medical centers like Cincinnati Children's.
What We Cover
This section covers hospital and health system strategy, expansions and closures, contract negotiations and network disputes with insurers, quality and patient safety ratings, staffing and workforce issues, physician group news, clinical programs, and community health investments. We also report on revenue cycle operations, the billing and collections work behind every patient account, and on the outsourcing and automation that systems are adopting to control administrative costs.
Provider news intersects with nearly every other part of the health plan business. When a health system and a carrier cannot agree on rates, members may lose in-network access; those disputes involve the companies covered in Health Insurance Companies and Blue Cross Blue Shield. Mergers, acquisitions and leadership appointments among providers are covered in Healthcare Business. Technology adopted by hospitals, including artificial intelligence (AI) in clinical and administrative workflows, appears in Health Technology and AI. Patient safety litigation and regulatory action appear in Healthcare Policy and Law, and skilled nursing and home health providers are covered in Senior Care.
The latest hospital and health system news appears below, newest first.
UnityPoint Accountable Care Announces More Than $9.5 Million in Shared Savings
WEST DES MOINES, Iowa, Feb. 20, 2020 /PRNewswire/ — UnityPoint Accountable Care (UAC) is announcing more than $9.5 million in shared savings based on quality and cost performance in the Medicare Next Generation Accountable Care Organization Model. As a subsidiary of UnityPoint Health and one of the largest accountable care organizations (ACOs) in the nation, UAC saw total shared savings of $9,534,791.31 for the 2018 calendar year. [Read more…]
AdvantageCare Physicians Opens New Medical Office for Employees at Iconic 55 Water Street Building
NEW YORK, Feb. 24, 2020 /PRNewswire/ — AdvantageCare Physicians (ACPNY), one of New York’s largest primary and specialty care practices and part of the EmblemHealth family of companies, today announced the opening of an innovative, employee-focused medical office at its 55 Water Street headquarters in New York City. [Read more…]
VisitPay Announces Henry Ford Health System as a New Customer of its Patient Financial Experience Platform
BOISE, Idaho, April 3, 2019 /PRNewswire/ — VisitPay announced that Henry Ford Health System will implement its financial platform, which helps patients meet their medical billing obligations and provide health systems with capabilities to boost patient satisfaction and yield. [Read more…]
Net Promoter Scores® of Health Systems Using VisitPay Comparable to Top Consumer Brands
BOISE, Idaho, April 3, 2019 /PRNewswire/ — VisitPay announced that patients who use the company’s revolutionary patient financial engagement platform give their health system’s billing and payment experience an average Net Promoter Score® (NPS) of +50. [Read more…]
Deloitte Achieves AWS Life Sciences Competency Status
Deloitte, a leader in life sciences and health care consulting services, announced today that it has achieved Amazon Web Services (AWS) Life Sciences Competency status. This designation recognizes Deloitte for its ability to build successful life sciences solutions on AWS to help customers conduct drug discovery, manage clinical trials, engage in manufacturing and distribution activities, and conduct research and development of novel genetic-based treatments and companion diagnostics. [Read more…]
Philips and Children’s Hospital & Medical Center of Omaha Partnership
Royal Philips (NYSE: PHG, AEX: PHIA), a global leader in health technology, and Children’s Hospital & Medical Center of Omaha, one of U.S. News and World Report’s Best Children’s Hospitals for Cardiology and Heart Surgery, have signed a 10-year, strategic partnership to help drive innovation in pediatric care. Working together, Philips and Children’s will look to identify opportunities to enhance the quality and cost effectiveness of patient services, including focusing on connected solutions in diagnostic imaging, patient monitoring, respiratory solutions and clinical informatics. [Read more…]
Regentis Biomaterials Performs the First Cases in Gelrinc Pivotal Study
Regentis Biomaterials announced today the start of its Phase III pivotal clinical trial of GelrinC for the treatment of focal knee cartilage defects with successful surgery on three patients in the U.S. and Denmark. These procedures are part of a Food and Drug Adminstration (FDA) approved Investigational Device Exemption (IDE) clinical study to compare GelrinC to microfracture, the current standard of care treatment. The clinical study will be used to support a Pre-market Approval Application (PMA) which will allow Regentis to market GelrinC in the U.S. [Read more…]
MS Patients Who Adhere to Treatment Have Higher Health Costs-And Better Outcomes
Fullerton Healthcare Corporation Limited (“Fullerton Health” or the “Group”), a leading provider of corporate healthcare solutions across Asia Pacific, today announced a significant investment from Ping An Capital Co., Ltd. (“Ping An Capital”), the core equity investment platform of Ping An Insurance (Group) Company of China, Ltd (“Ping An of China”). [Read more…]
Baptist Health joins CareSource Health Plan Network
CareSource and Baptist Health have reached an agreement to provide quality access to health care for consumers in Kentucky and southern Indiana through the Health Insurance Marketplace. [Read more…]
More than 90 Percent Oppose Single Payer Medical Care
While a narrow majority of 1,033 physicians surveyed by Merritt Hawkins strongly (42%) or somewhat (14%) support a “single payer healthcare system” in the U.S., more than 90% of 1,208 persons responding to an internet survey by the Association of American Physicians and Surgeons said they were opposed. [Read more…]
ISM® Addresses Potential Economic Impact of Hurricane Harvey
Hurricane Harvey has struck a significant blow to the Houston, Texas metro area, home to the sixth largest import terminal in the world, as well as all of the shipping lanes in the Gulf Coast area. Given the strong economic linkages between the gulf coast and the country as a whole, Harvey is a disaster that will impact the U.S. economy far beyond that of the gulf coast. [Read more…]
Sunshine Health Establishes Free Crisis Hotline for Hurricane Irma
As Hurricane Irma heads toward Florida, residents are preparing for its impact. Anxiety is running high for many in the path of this very strong storm. [Read more…]
FTLife launches MediSave Medical Account
Unaffordable medical expenses are often the first consequence when a critical illness such as cancer or heart disease strikes, so FTLife has responded by launching the MediSave Medical Account. This helps customers prepare for the possibility that serious illness could strike a breadwinner, or other family member, at any time. [Read more…]
Berkshire Medical Center RNs File Unfair Labor Practice Charge
The registered nurses of Berkshire Medical Center, represented by the Massachusetts Nurses Association, have filed an unfair labor practice charge with the National Labor Relations Board against BMC citing management’s months long refusal to provide information necessary to negotiate over health insurance, which is a mandatory subject of bargaining under federal labor law. [Read more…]
Avella Launches e-Commerce Platform for Ophthalmology Providers
Avella just announced that it has launched a new e-commerce platform designed to streamline ordering compounded preparations. This easy-to-use, secure and intuitive web-based portal gives ophthalmology providers the ability to save payment information and easily order or re-order with customized shipping method. It also provides access to ordering history and invoices at a glance. [Read more…]
Missouri Care Signs Agreements with SSM Health
Missouri Care, Inc., a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), announced today that it has signed an agreement with SSM Health that provides in-network coverage to Missouri Care’s MO HealthNet Managed Care (Medicaid) members. This agreement includes access to academic medical centers, community hospitals, physicians, urgent care centers, ambulatory care centers and other services and facilities owned by or affiliated with SSM Health. [Read more…]
Signify Research report on Population Health Management in North America
The growing global market presence of SCIO Health Analytics™ is featured in healthcare technology consulting firm Signify Research’s most recent market report, “Population Health Management IT – North America – 2017.” [Read more…]
Half of Patients’ Out-of-Pocket Spending for Brand Medicines Is Based on List Price
More than half of commercially-insured patients’ out-of-pocket spending for brand medicines is based on the full list price, according to a new analysis from Amundsen Consulting, a division of QuintilesIMS. The data also show cost -sharing for nearly one in five brand prescriptions is based on the list price. [Read more…]
Combined Insurance Donates $30,000 to Luke’s Wings
Combined Insurance, a leading provider of individual supplemental accident, disability, health, and life insurance products, and a Chubb company, demonstrates its continued commitment to giving back to U.S. servicemen and women with a $30,000 donation to Luke’s Wings—recipient of the company’s philanthropic sales program for the third consecutive year. [Read more…]
Nursing Organizations Urge President Trump, Congress to Make High-Quality, Affordable Health Care Access a Top Reform Priority
America’s leading nursing organizations and the over 3.5 million nurses they represent, today called on the Trump Administration and Congress to prioritize patient health and the patient-provider relationship in any health reform proposals. [Read more…]
Aflac Choice Hospital Insurance Policy Offers First-to-Market Initial Assistance Benefit Option
Aflac, the leader in voluntary insurance sales at the worksite in the United States, is making it even easier for customers to access much-needed financial support while they are in the hospital. [Read more…]
N.J. Hospitals Sustained $1.5 Billion in ACA Funding Cuts
Hospitals and health systems in New Jersey have already absorbed nearly $1.5 billion in funding cuts since the Affordable Care Act was enacted in 2010, with the promise of expanded healthcare coverage to mitigate these losses. As the 115th Congress advances legislation to repeal major provisions of the ACA, healthcare providers are concerned the cuts will remain despite the coverage of 796,291 state residents being jeopardized. [Read more…]
Chubb promotes Graham Lambourne
Chubb today announced that Graham Lambourne, currently Global Clients Claims Manager, Europe has been promoted to the role of Head of Multinational Claims for Overseas General Insurance. [Read more…]
9 Oral Health Hazards of Holiday Stress
Holiday stress can be a pain in the neck…and the teeth, warns Delta Dental. If too much family time or the mad dash for last minute gifts causes you to grind or clench your teeth, be aware that it can cause your teeth to ache, wear down, become loose or even crack. Headaches, pain or soreness of your neck and jaw muscles, and clicking, popping and pain in your jaw joints are also possible side effects. [Read more…]
Medicare Hospital Star Ratings Gives Flawed Quality Snapshot
Medicare’s star ratings of hospitals fail to provide the public with an easy comparison of the quality of inpatient care provided. An analysis by J. Graham Atkinson, D.Phil., Jayne Koskinas Ted Giovanis Foundation for Health and Policy (JKTG) executive vice president for research and policy reveals the biases inherent in the rating system along with conceptual problems in the design of the method used to combine individual quality scores. [Read more…]
Veterans Groups Applaud New Rule
Veterans Deserve Care, a grassroots coalition committed to reducing wait times in VA facilities, applauded a decision by the U.S. Department of Veterans Affairs (VA) to finalize a rule allowing veterans to receive high-quality care by providing direct access to nurse practitioners. [Read more…]
City of Fort Worth Partners with Employer Direct Healthcare
The City of Fort Worth (the “City”) is pleased to announce the expansion of its member healthcare coverage offering starting January 2017 through Employer Direct Healthcare’s SurgeryPlus®, a supplemental benefit for non-emergent surgeries that provides higher quality care, a better experience and lower costs. [Read more…]
1Sovereign Health Examines Insurance and Other Barriers That Affect Addiction Treatment
Sovereign Health, a leading national provider of behavioral health treatment services, has announced the seventh installment of the “Beyond NIMBY” series, a second series that addresses the strong community opposition to recovery-oriented housing and addiction treatment services for persons with substance use disorders in residential neighborhoods — often referred to as “not in my backyard.” [Read more…]
What If It’s YOUR Medical Record?
AmeriVeri (http://www.ameriveri.com/) helps protect the integrity of Medical Records and saves patients from unnecessary, costly and possibly dangerous treatments resulting from medical coding errors. What many don’t realize is how shockingly common these errors are. [Read more…]
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